4268 Beaver Dam Rd - COCCity of Epp
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 4�(J 'J .ir G�l -1i er300
COMPLIANCE WI III INITIAL INSPECTION
Ihis is to certify that the property listed above has beet_ inspected by authorized City personnel on , 201 J
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
n 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):
11
City Plumbing Permit
City Approved: 1!� TC� U� / �1r� i �` - (cam' / �L Cr i E /
Print name Signature Date
NOTE: Applicable only if box is checked.. nBased 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:;
Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
rev 2 23 2010