1845 Kathyrn Cir - COC41 City of Eakan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: S+(` l � � f
COMPLIANCE WITH INITIAL INSPECIION
P This is to certify that the property listed above has been inspected by authorized City personnel on , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECIIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit n City PIumbing Permit
NOTE: Applicable only if box is checked.:• 1 (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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: l>L`Yw / ",
Print name Signature Date
White Copy: Pr operty Owner
Yellow Copy: City of Eagan (Parcel f ile)
41 City of Ea al
rev 2 23 2010