4358 Nicols Rd - COCCity of EaRail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Property Address: 43 `g C_C; i i C ST
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on — 1 J 1 v , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was requited
COMPLIANCE AFTER CORRECTIVE 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):
1 1
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkedBased on a r eview of the Sewer Service video inspection /report on file, it is
recommended that ' ' aning or future inspections be performed to minimize ; a otential blocks a due to:
Grease Build --u, Root Intrusion Dip /Settlement in Pipe, Other: ? 0 �
City Approved: J
Print name
White Copy: Property Owner
t e,r U�1�
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23 2090