4663 Beacon Hill Rd - COCCity of Ekkon
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRA`T`ION
4 City of Eagan
City of Eagan, Minnesota
Property Address: � Eo(o 3 6 - eaf_ l vv. Po Cam )
COMPLIANCE WIIH INITIAL INSPECTION ,, ll
This is to certify that the property listed above has been inspected by authorized City personnel on . 201 CJ
-� f3' P p tY p Y tY 6 -- p
and found to be in compliance with Section .3 40 of the City Code and no corrective wor 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 Sanitary Sewer Permit
NOTE: Applicable only if box is checked: LjBased 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 potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 7 ■ ✓v4 �'1 C / `tip v� L 4 �` -- � 1 I t /7_6
( t
Print name Signature Date
White Copy: Property Owner
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010