4035 Amethyst Lane - COCI
City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Eagan
City of Eagan, Minnesota
Property Address: 1 4 0 - rr� �tL �S L VL
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 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
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit U City Plumbing Permit
NOTE: Applicable only if box is checked:' used 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 pote tia b ocka a due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe Oth ( 1 t '`
C
City Approved_ _ /
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010