4689 Kingsbury Dr - COC4 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: V V- i v S `d *. UN ` V
City of Ea all
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on I G 1 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC TIVE 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
NOTE: Applicable only if box is checked: nBased 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:
White Copy: Property Owner
/.
Print name V Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 . 23 2010