1450 Richards Ct - COCCity of Eapn
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: \ L *SO EL'
COMPLIANCE WITH INITIAL INSPEC ZION
City of Eapll
his is to certify that the property listed above has been inspected by authorized City personnel on 1C- " " 201(-1
and found to be in compliance with Section 3 40 of the City Code and no conective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
f i Ihis 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: I JBased 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, Other;
City Approved: ,� 1 1/vL C 1 / ` ' V-' -- � l C� / 3 k! C t{
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23.2010