1819 Karis Way - COC411 City of hp
City Approved:
Property Address:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name
City of Eagan, Minnesota
i/ C/
COMPLIANCE WITH INITIAL INSPEC TION
7 \ This is to certify that the property listed above has been inspected by authorized City personnel on C i , 201
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
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):
City Sanitary Sewer Permit I ] City Plumbing Permit
NOTE: Applicable only if box is checked: UBased 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:
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
011 City of Eagan
rev 2.23 2010