4290 Amber Dr - COCCity of Ca ,all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 0 A'1 f1r��0 - e 0 Y t
COMPLIANCE WITH INIIIAL INSPECIION
City of Eaftan
This is to certify that the property listed above has been inspected by authorized City personnel on 1 - , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC IIVE 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):
City Sanitary Sewer Permit n 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 per ior tax .' .ing or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ' • of Intrusion ► ', ettlement in Pipe, Other:
City Approved: \ � i,� 1lL / I � — J c CO
vv�
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010