4265 Beaver Dam Rd - COCCity of EaRall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: `� Zo 1 '`eCD.m J( Im, icaz 6_0
COMPLIANCE WITH INIIIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on S' , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
[f 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):
C
City Sanitary Sewer Permit City Plumbing Permit
NOTE: 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 potential blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: 1V11■ Lim /
Print name
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
c°,/;o1a6
Date
rev 2 23.2010