4322 Beaver Dam Rd - COCCity of Eajll
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
1
City Plumbing Permit
City Approved: w A- /
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
/ X136
Date
City of Eapll
City of Eagan, Minnesota
Property Address: 3 ?i2 1.1.0 -E ' a
COMPLIANCE WIIH INITIAL INSPECIION
"'Ibis 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 AF IER 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):
NOTE: Applicable only if box is checkedr 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:
Dio it
rev. 2 23 2010