4648 1_2 Penkwe Way - COCCity of bp
Il
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
`°; C„ 4 g Q-CAija0 JCL
COMPLIANCE WIIII INITIAL INSPECTION
T is is to certify that the property listed above has been inspected by authorized City personnel on " , 20
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 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 1 City Plumbing Permit
NOTE,' Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that per cleaning or future inspections beperf j rned to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: i00'� v i Q€_. � 1 i�l s ci
City Approved: / vim - LA - / / I'D
Print name V Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
City of Ea all
rev 2 23 2010