4790 Beacon Hill Rd - COCCity of bpi
COMPLIANCE WITH INITIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4790 Beacon Hill Road, Eagan, MN 55122
City of Eagan
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This is to certify that the property listed above has been inspected by authorized City personnel on fE3 . [ f , 2010
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
C 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
NOTE: Applicable only if box is checked: NI ased 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, boot Intrusio3 Dip /Settlement in Pipe, Other: 6-ti NE fz-4 `epos rr5
White Copy: Property Owner
City Approved: —
Prtni name [ Signature
/ 0316 10
Dale
Yellow Copy: City of Eagan (Parcel File) rev. 3.1.2010