4034 Beryl Rd - COCCity of Etan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: CC3'
COMPLIANCE WITH INITIAL INSPECTION
COMPLIANCE AID TER CORRECTIVE WORK PERFORMED
I
City Approved:
A lb. City of Baran
This is to certify that the property listed above has been inspected by authorized City personnel on , 201(
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
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 [ City Plumbing Permit
NOM: Applicable only if box 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 p to ti 1 blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: c 01-N. -
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Pi-
rev 2 23 2010