3730 Blackhawk Rd - COC4 City of Bapil
City Approved: J o 777'
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: 3730 teh
COMPLIANCE WITH INITIAL INSPECTION
'4his is to certify that the property listed above has been inspected by authorized City personnel on Z 3 , 201
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
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 1 City Plumbing Permit
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
Signature
I 5 J I /
Date I
City of Evan
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010