4648 Penkwe Way - COCCity of Eaaall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of kap
City of Eagan, Minnesota
Property Address: t {o4 a`�1t t�.i-Q._ Lk. d
COMPLIANCE WITH INITIAL INSPEC IION
,This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
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
This is to certify that the property listed aboNie has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair work undet (check all that apply):
City Sanitary Sewer Permit El City Plumbing Permit
NOTE: Applicable only if box is checked:ttsed 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 po ntial block ge due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: I (p-" ()-e, Lit-ectiTM --
City Approved: w. L t> i f
Print name V'Ne■-
Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010
P+