4722 Penkwe Cir - COC411 City of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
City of Eagan, Minnesota
Ci
his is to certify that the property listed above has been inspected by authorized City personnel on ° , 201 (--)
and found to be in compliance with Section 3 40 of the City Code and no corr ective wor was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
fl 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):
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
Print name
City of Eagan
NOTE; Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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: L('.i.L.
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
o t1
rev 2 23.2010