4250 Beaver Dam Rd - COCCity of Evan
COMPLIANCE WITH INITIAL INSPECIION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: , a -e w 04
--3 his is to certify that the property listed above has been inspected by authorized City personnel on " 3 , 201_(
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n This is to certify that the property listed above has been found to be m 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
White Copy: Property Owner
0 City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
411 City of bin
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: l Vv. � 4 i / / / l j
Print name Signature Date
rev 2 , 23 2010