4726 Beacon Hill Rd - COCd City of Eagan
City Approved:
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SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit I 1 City Plumbing Permit
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of' Eagan, Minnesota
Property Address: r � �L Rea-,j
COMPLIANCE WITH INIIIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on / / , 2nr
and found to be in compliance with Section 3 40 of the City Code and no corrective wor was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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):
NOTE: Applicable only if box is checked: 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 Intrusion, Dip /Settlement in Pipe, Other:
- 2 f
Date
City of Eagan
rev 2 23 2010