4302 Amber Dr - COCCity of Eap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eap
City of Eagan, Minnesota (�
Property Address: 1- 43 1 y\kir
COMPLIANCE WITH INITIAL INSPECTION
c4 This is to certify that the property listed above has been inspected by authorized City personnel on , 201 C
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 j City Plumbing Permit
White Copy: Property Owner
NOTES Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that_periodic-elear4ng or future inspections be performed to minimize a potential blocka� .e,ffdue to:
Grease Build -up oot Intrusion ip /Settlement in Pipe, Other: S , C:=0 eo 1
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City Approved: ttv�k ` j n 11Anr C 1 1 1 X416
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.232010