4229 Amber Dr - COCCOI IPLI ANCE WITH INITIAL INSPECTION
City of Ea ll
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: NYer 0 Y'‘
41!lik City of Eapil
his 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 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):
n City Sanitary Sewer Permit pi City Plumbing Permit
NOTE: Applicable only if box is checked ?rsed 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 otential blockage due to:
Grease Build -u • oot Intrusion, ► i /Se ttlement in Pipe, Other: L
\�✓v� �„di -!L I „- �� I Sin
City Approved:
Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010