4627 1_2 Penkwe Way - COCCity of Eagan
NOTE,: Applicab
recommended tha
Grease Build -u
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFIC4.TE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 'o • 7 a– Pte. idc -€
COMPLIANCE WIIH INITIAL INSPEC TION
is is to certify that the property listed above has been inspected by authorized City personnel on
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 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
le only if box is checked:---ased on a review of the Sewer Service video inspection /report on file, it is
ning or future inspections be performed to minimize a otential blockage due to:
?) Root Intrusion ► ip /Settlement in Pipe, Other: ?) k+
uh f 1 -�3-
Print name Signature
Date
City of hp
—i ,201. V
Yellow Copy: City of Eagan (Parcel File) rev 2. 23.2010