1961 Beaver Dam Ct - COCCity of Wan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 c> 1 to 1 e-e_ W 0. gyyA _ C,
COMPLIANCE WITH INI IIAL INSPEC LION
This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
II
Ihis 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):
City Sanitary Sewer Permit 1 I City Plumbing Permit
NOTE: Applicable only if box is checked: 1 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:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: '• 1 t vex- l t3 / , ` K / (-1 36)D-(5 !�
Signature Date
Print name
White Copy: Property Ownet
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea il
, 201
rev 2 ,23 2010