1863 Taconite Tr - COC4 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: i 76 72C ti - e. 772 , L
City of Etan
COMPLIANCE WIIII INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on 2 G , 2011
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
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 1 City Plumbing Permit
NOT: 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: �•
Print name
White Copy: Property Owner
7
s--
g , lure l Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23. 2010