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4292 Beaver Dam Rd - COCCity of hap SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota (� Property Address:` 9 CLCD COMPLIANCE WITH INITIAL INSPECTION -Ihis is to certify that the property listed above has been inspected by authorized City personnel on , , 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 n 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 Plumbing Permit NOTE: Applicable only if box is checked: UBased 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: White Copy: Property Owner Print name Signature Yellow Copy: City of Eagan (Parcel F ile) WaO Date City of Ea all rev 2.23 2010