4761 Beacon Hill Rd - COC1 City of Eapn
COMPLIANCE WITH INIIIAL INSPECI
fl This is to certify that the property listed above has been inspected by authorized City personnel on `? /S , 201r
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
4'701 501-04-
`fir
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 n City Plumbing Permit
NOM:. Applicable only if bo.x is checked: Based 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
Crease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
City Approved:
Print name Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4111 City of Baran
1
S l
Date
rev 2 23 2010