4134 Nicols Rd - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMVIPLIANCE fbr
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 ) '3 1 4
COMPLIANCE WITH INITIAL INSPECJION
-4his is to certify that the property listed above has been inspected by authorized City personnel on 6, , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF I ER CORREC JIVE WORK PERFORMED
C
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):
C City Sanitary Sewer Permit
City Approved:
Print name
City Plumbing Permit
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
111 !O i `‘ City of Baran
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, Others
/ -11 01 D-O I C�
rev 2.23.2010