4625 Beacon Hill Rd - COCCity of Ea all
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ' ( ) G_ (,_C) Ort t eo G,_Q!
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on L 4 --- D-`) . 301
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
— 1 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 City Plumbing Permit
ity of . Eaaar
White Copy: Property Owner
NOTE: Applicable only if box is checked: used an 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:
P pOC)• Y p -- \bi a - .c.S -,- ( Gc-" - -S- ) J
City Approved: -7 3 - i. ‘
pproved: J t t�t t .� / —, \ /MO / ! [ 07 -6 LC
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2010