4613 1_2 Penkwe Way - COCCity of hp
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ( � J r� �- 1111't .
COMPLIANCE INITIAL INSPEC ZION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on L k — t'* , 2013
and found to be in compliance with Section .3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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):
L City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked.1 '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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 4
Signature
Yellow Copy: City of Eagan (Parcel F ile}
Date
City of Eapil
rev 2.23 2010