4747 Beacon Hill Rd - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
tr 11
Property Address: &eo -C._o u` t
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on 0 _ f 3 , 20I
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
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 City Plumbing Permit
NOTE: Applicable only if box is .checked;• [l&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 a potential blockage due to..
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: / �, \Af.. A / l V / 6 f h
Print name Signature t Date
rev 2 23 2010