4646 Kingsbury Dr - COC411 City of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
`16
COMPLIANCE WI TIT INITIAL INSPEC I ION
This is to certify that the property listed above has been inspected by authorized City personnel on ___ 27 , 201
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
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):
n City Sanitaiy Sewer Permit n City Plumbing Permit
NOT& Applicable only if box is checked: UBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: �'a— P 2i✓d�'� / y.�. ,- �1 G .✓C / — i5 �
Print name ( Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea a
rev 2 23 2010