3923 Blackhawk Rd - COC41 City of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City off Eagan, Minnesota
Property Address: 3 Z-3 eackilawk Rci
COMPLIANCE WIT II INITIAL INSPEC ZION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0712 3
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC IIVE WORK PERF ORMED
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):
City Sanitary Sewer Permit n City Plumbing Permit
411 City of Evan
,2011
NOTE: Applicable only if box is checked: Based on a review of' the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize q potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: /Nf�32fa) OrP ,
City Approved: Jam( n
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010