3690 Blackhawk Rd - COCCity of EaRall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota 0 . nesot t a `
Property Address: 3 9 0 ? L .G . V1 `, ee e
COMPLIANCE WIIH INITIAL INSPEC TION
H—This is to certify that the property listed above has been inspected by authorized City personnel on -1 , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n This is to certify that the property listed above has been found to be in compliance with Section .3 .40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
1 1
City Sanitary Sewer Permit 1 I City Plumbing Permit
City Approved: VU�
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checkeda Based on a review of the Sewer. Service video inspection /report on file, it is
recommended that per' die - cleaning or future inspections be performed to Ninimite a potential blockage due to:
Grease Build -up, otIntrusion)Dip /Settlement in Pipe, Other.,
ti– I QLtfL
Signature
Yellow Copy: City of Eagan (Parcel File)
. /3/3-c) r
Date
City of Evan
rev. 2 23.2010