4289 Amber Dr - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eta
City of Eagan, ,�°
n, Mi
Pr t}� - operty Address: 4 t 1� IC' x & Y 1 V
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 , 201 0
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):
n City Sanitary Sewer Permit
❑ City Plumbing Permit
NOTE: Applicable only if box is checked: i Rased on a review of the Sewer Service video inspection /report on file, it is
recommended that -e ing or future inspections be performed to minimize a potential blockage due to:
Grease Build -u Root Intrusion ip /Settlement in Pipe, Other:
City Approved: t ,M / V J tstik) I ` a`! 0 1 f.
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010