4118 Nicols Rd - COC4 City of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
COMPLIANCE WIIH INITIAL INSPECTION
4 7--This_is to certify that the property listed above has been inspected by authorized City personnel on Tr, 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ibis 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 ):
l City Sanitary Sewer Permit n City Plumbing Permit
City of Eagan, Minnesota
Property Address: l� LG �
NOTE.: Applicable only if box is checked. : aced on a review of the Sewer Service video
recommended that periodic cleaning or future inspections be perforrm d to minimize a o e
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: � / Q
City Approved: Hfk1 "L— / V\ `e
Print name Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
inspection /report on file, it is
tial jilockage due to:
Ca 4— Icy
1 /1 - a-fo
Date
411 City of Evan
rev. 2.23 2010