1810 Taconite Tr - COC4111 City of EapIl
fI
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaagari,
Proper Address: 11S 10 I o c,i1 -- - T
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
201)
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
L 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 I 1 City Plumbing Permit
NOTE.: Applicable only if box is checked Based 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: l '
Print name
White Copy: Property Owner
/
Signat Date
Yellow Copy: City of Eagan (Parcel k ile)
City of Eagan
rev 2.23 2010