4319 Amber Dr - COCCity of Eapft
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Piopei ty Address: 4:3 ‘3'? \r tl'"Nl'e_
COMPLIANCE WIIH INIPIAL 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 AFIER CORRECTIVE WORK PERFORMED
Ihis 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 n City Plumbing Permit
NO7E Applicable only if box is checked: I' sed 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 t ential blockage due to:
Grease Build -up of Intru ' n, Dip /Settlement in Pipe, Other: I 1 ! ( 1 4
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Eakall
rev 2 23 2010