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4622 Kingsbury Dr - COCCity of Eapall Property Address: 1/ City Approved: Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota COMPLIANCE WYIH INITIAL INSPECTION Ihis 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 AF IER CORREC TIVE WORK PERFORMED Ft/This is to certify that the property listed above has been found to be in compliance with Section 340 of the City Code after satisfactorily completing the required corrective repair work under (check all that apply): n City Sanitary Sewer Permit City Plumbing Permit NOTE Applicable only if box is checked, 1 (Based on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning OF future inspections be performed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: ( Mt' < r r J Sign Date Yellow Copy: City of Eagan (Parcel File) City of Eaaall rev. 2 23.2010