4059 Beryl Rd - COCSANITARY SEWER SYSTEM
C ERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eat ll
City of Eagan, Minnesota
Property Address: 4K 11`e
COMPLIANCE WITH INIIIAL INSI'ECIION
S
:Ilris is to certify that the property listed above has been inspected by authorized City personnel on 4, , 201_(1
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
Ihis 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 pi City Plumbing Permit
411 City of Eta]
NOTE: Applicable only if box is checked,Based on a review of the Sewer Service video inspection /report on, file, it is
recommended that periadir cleaning or future inspections be performed to minimize a potential blockage due to,:
Grease Build -up, ootIntrus¢oon -, Dip / `7 '
Settlement in Pipe, Other., C- ��5 -C 9-
`
City Approved: 1 vv` /'
White Copy: Property Owner
Print name V Signature
/ I 1a %aOt1)
Date
Yellow Copy: City of Eagan. (Parcel File) rev. 2 23 2010