4610 1_2 Penkwe Way - COCCity of Din
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: i + 1 0 V)- Qe_tc, W -P
COMPLIANCE WIT Tr! INITIAL INSPECTION
jzi Ihis is to certify that the property listed above has been inspected by authorized City personnel on 1/44 R. 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERI' ORMED
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked4 IBased 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:
Gr° ase Build-up, Root Intrusion, Dip /Settlement in Pipe, Other: S& Q1 d eck - A--e (An -- L{a -sa3 }
City Approved: � �— / -IZZg / (c'/ t /C)-0
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of EaRali
rev. 2. 2.3 2010