1715 Taconite Tr - COC4 City of Baran
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Address: °7 1 I S 173-- Vti JCL,
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 corr ective wor was required
COMPLIANCE AP IER 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
City Approved:
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked: Based on a review of the Sewer Ser vice 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 :•
/ef). )-D_6
Signature Date
Yellow Copy: City of Eagan (Parcel Pile) rev 2 .23 2010