4708 Penkwe Cir - COCCity of E aB
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C.
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 -40 of the City Code and no corrective work was required,
COMPLIANCE AF TER 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 requited corrective repair work under (check all that apply):
I 1 City Sanitary Sewer Permit 1 City Plumbing Permit
White Copy: Property Owner
4 City of Evan
NOTE: Applicable only if box is checked: 'Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning Of future inspections be performed to minimize a potential blockage due to:
Grease Build --up, Root Intrusion, Dip /Settlement in Pipe, Other:
� l A
City Approved: sr`v�' C / -,.-- .�— / I i ` %
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2