4241 Blackhawk Rd - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, { Minnesota
Property Address:'
COMPLIANCE WIT H INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on 6 , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE 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):
n City Sanitary Sewer Permit {] City Plumbing Permit
NOTE. Applicable only if box is checked„ 1 [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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
City Approved: Vti P I <-/- C1 /2_ I
Print name Signature Date !
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Eapn
rev 2 23 2010