3705 Blackhawk Rd - COCSANITARY SEWER SYSTEM
, City � of apn CERTIFICATE COMPLIANCE for City of Eag��
INFLOW & INFILTRATION
City Approved:
n City Sanitary Sewer Permit
White Copy: Property Owner
City of Eagan, Minnesota
Property Address: k-
rofr
COM WIIH INITIAL INSPECTION J
_
This is to certify that the property listed above has been inspected by authorized City personnel on , 201
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 Ihis 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):
n City Plumbing Permit
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 be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Print name
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23.2010