4617 1_2 Penkwe Way - COC411 City of Eagan
City Approved: OA_
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: I "I
4 111°. City of Evan
COMPLIANCE WIIFI INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on , 20l _O
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AI IER CORREC IIVE WORK PERFORMED
n Ibis 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 City Plumbing Permit
NOTE. Applicable only if bo.x is checked.. nBased on a r eview 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:
Print name
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010