4247 Beaver Dam Rd - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota (�
Property Address: Lra 04 e a__e
COMPLIANCE WITH INITIAL INSPECIION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on ~ 3 1 , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was requited
COMPLIANCE AFTER CORRECTIVE WORK PEREOR1MED
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 PIumbing Permit
NOTE:. Applicable only if bo.x is checked: UBased on a review of the Sewer Service video inspection /report an 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: ■ vv` V46,_+.34---
Print name
White Copy: Property Owner
- L -(
Signature
Yellow Copy: City of Eagan (Parcel File)
Do 17
Date
rev 2 23.2010