4041 Amethyst Lane - COC11 City of Eagan
I I City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Pr operty Addr ess:
City of Eagan, Minnesota
v � e A : A - L oof —
❑ City Plumbing Permit
City of kali
COMPLIANCE WI H INI I IAL INSPEC IION
M - -This is to certify that the property listed above has been inspected by authorized City personnel on e , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC IIVE 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):
NOTE: Applicable only if box is checked.: 4ased on a review of the Sewer Service video inspection /report on file, it is
recommended thatperio_die,cearring or future inspections be performed to mini ize a potential blockage due to:
Grease Build -up, ct Intrusi Dip /Settlement in Pipe, Other:
City Approved: -3\ V
Print name
White Copy: Property Owner
Yellow Copy: City of Pagan (Parcel File)
„1 '0A Li--/D-8
Date
rev 2 .23 2010