4314 Amber Dr - COCCity of Baran
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F ile)
City Approved: 1.iAAA-- / ( ej 6
Print name Signature Date
City of Eapll
City of Eagan, Minnesota
Property Address: 1 \ VI-e`C
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on — , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
L 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 E City Plumbing Permit
NOTE: Applicable only if box is checked! ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , • ro ' Ice ing or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ! • , t Intr , Pip/Settlement in Pipe, Other:. 6 3, (. , O - S —'
rev 2 23 2010