4792 Beacon Hill Rd - COCCity of Eatall
n City Sanitary Sewer Permit
City Approved: � �VV� u- .
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
t� �
Property Address: ! � 9 �- ���'�.. -co �� 1� l \' C)
COMPLIANCE WITH INITIAL INSPEC HON
This is to certify that the property listed above has been inspected by authorized City personnel on ` L 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
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 corr ective repair work under (check all that apply):
NOTE,: Applicable only if box is checkedr i '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 lntrusion, Dip /Settlement in Pipe, Other;
Print name
City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Eapll
rev 2.2.3.