4071 Amethyst Lane - COC411 City of Evan
COMPLIANCE WIIH INITIAL INSPECTION
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
City Sanitary Sewer Permit City Plumbing Permit
City of Emil
his is to certify that the property listed above has been inspected by author ized City personnel on S— J , 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):
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.:
\,\CO3-le‘ 1I tom � / ( I/ L { /a i/
Print name J Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010