4298 Beaver Dam Rd - COC410b- City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Z 7 � L'� fit' �� �►'t f �
COMPLIANCE WIT H INITIAL INSPECTION
-'71.
Ihis is to certify that the property listed above has been inspected by authorized City personnel on . 0- , 201 j
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
71 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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit 1 City Plumbing Permit
City Approved: jiME
White Copy: Property Owner
Print name
NOTE: Applicable only if box is checked: OBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:,
Yellow Copy: City of Eagan (Parcel File)
Date
City of hp
rev 2 23 2010