1745 Kyllo Lane - COC41 City of
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
City Sanitary Sewer Permit City Plumbing Permit
41 City of EKE'
COMPLIANCE WITH INIIIAL INSPEC IION
�4 is to certify that the property listed above has been inspected by authorized City personnel on a - 2 , 201_1
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
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):
NOTE: Applicable only if box is checked :f Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning OF future inspections be performed to inimize a pate ta b ckaae due to:
Grease Build-up, Root Intrusion, Dip/Settlement in Pipe, Other:
C —Q ai 6 vLS
Cp 4 -C 3 f ls i
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010