1830 Kathryn Cir - COC411 City of Baran
n City Sanitary Sewer Permit
City Approved: 7 3 - 1/4 VLF_ G
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
City of Eagan, Minnesota
Property Address: (j \2-6...4. V i Vl. C i C
COMPLIANCE WITH INITIAL INSPECTION
p , 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 corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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):
NOTE: Applicable only if box is checked: [lBased 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 apotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others
(Cg s
rev 2 23 2010