1850 Kathryn Cir - COCittilk City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Adtess: TCSD ?2 C ItV \ V\ C1 Y"CO
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 'U , 201_(
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORREC TIVE WORK PERFORMED
7 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):
1
City Sanitary Sewer Permit j City Plumbing Permit
City of Eagan
NOTE: Applicable only if box is checked: ased 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: ti lit / V/ 4/D-6 tl
Print name Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010