4070 Amethyst Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit City Plumbing Permit
A l/PP City of Eap
City of Eagan, Minnesota
Property Address: 't2 7th 19-- e si L Z67.e�
COMPLIANCE WITH INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on Z$ , 201 ti
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC TIME 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 corrective repair work under (check all that apply):
NOTE: Applicable only if box is checked: 'Based 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: \
3
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 2 2010