4676 Beacon Hill Rd - COC4101 City of Ear
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 6 e__r_ ', t i l t leC c _e
COMPLIANCE WIIH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI TER CORRECIIVE WORK PERFORMED
it 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):
fl City Sanitary Sewer Permit City Plumbing Permit
City Approved: i
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eapll
I L 201
NOTE, Applicable only if box is checked: nBased 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:
Signature
tac
Date
rev 2 23 2010