4625 Penkwe Way - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Eaiall
City of Eagan, Minnesota
Property Address: �n 'J lij
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 40 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER 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):
City Approved: 1 \0 ^
Print name
White Copy: Property Owner
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE: Applicable only if bo.x is checked., '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 a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
/ - 7/2. -/
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 2 . 3. 2010