4641 Beacon Hill Rd - COCSANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Pt°perrty Address: f j �C �C�Yi f % R-1- "-
COMPLIANCE WITH INIIIAL INSPECTION
This 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
[fhis 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 Cit Sanitary Sewer Permit N 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 for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
9
City Approved: C
Signature
/ Printname
White Copy: Property Owner
. of dam' 1
Date
Yellow Copy: City of Eagan (Parcel F ile)
l
City of Ea all
rev 2.23 2090