3997 Beryl Rd - COC4 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota l
Pro erty Address: ! '"errs' C. O
P /
COMPLIANCE WITH INIIIAL INSPECTION �/
n This is to certify that the property listed above has been inspected by authorized City personnel on 7 ZZv , 201]
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AT TER CORREC TIVE WORK PERT ORMED
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: 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:
City Approved:
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
/ J /
Date
City of EapIl
rev 2 23 2010