4645 1_2 Penkwe Way - COCCity of Ea. ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L i - (n C �- -�� _Ll� C 1�� C--N.1
COMPLIANCE WITH INITIAL INSPECIION
White Copy: Property Owner
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
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 [ City Plumbing Permit
P . This is to certify that the property listed above has been inspected by authorized City personnel on — �l , 201 D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
City of hp
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:
((11 rr i
City Approved: v� l A1�J U` V� / ti � /
Print name '' Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010