4364 Nicols Rd - COCCity of Etall
E I
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 , * City of Eapn
City of Eagan, Minnesota
Property Address: 1.- -1"(., CtA
COMPLIANCE WITH INITIAL INSPECTION
P .Ihis is to certify that the property listed above has been inspected by authorized City personnel on "D 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per • r ing or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ' oot I . 'r tj ip /Settlement in Pipe, Other:. - 3S - `S
City Approved: \AA / \ 1� I*) / 9 h 3 )
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.232010