4623 Penkwe Way - COC4, City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of &atan
City of Eagan, Minnota
Property Address: g(La 23 .ems kw—e—
COMPLIANCE WITH INITIAL INSPECTION
is to certify that the property listed above has been inspected by authorized City personnel on Z , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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):
City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
City Approved: S 771
Print name
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 beperformed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /,Settlement in Pipe, Other:
Sign tur
s/cd./!I
Date
Yellow Copy: City of Eagan (Parcel File) rev. 2. 23 2010