4296 Amber Dr - COCCity ofEaan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: - 1 v O-x i \f
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
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 corrective repair work under (check all that apply):
City Approved:
City Sanitary Sewer Permit 1 City Plumbing Permit
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that • :: ' _ r ning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u r, Root Intrusion, Pip /Settlement in Pipe, Other . � � � 4 4,0 ••
,
Signature Date
Yellow Copy: City of Eagan (parcel 1 ile)
City of Iaftall
. G 201C->
rev 2 23 2010