4690 Penkwe Way - COCCity of Evan
1I
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 0 1
COMPLIANCE WITH INITIAL INSPEC TION
`'This is to certify that the property listed above has been inspected by authorized City personnel on 1 ` `�, 201_0
and found to be in compliance with Section :3 40 of the City Code and no corrective work was required,
COMPLL&NCE AFTER 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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked.: UBased on a r eview of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or . future inspections be performed to minimize a potential blockage due to:'
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
S L-20r— (�
Signature
Yellow Copy: City of Eagan (Parcel 1i1e)
It
Date
City of Eapli
rev. 2 23.2010