4712 Penkwe Cir - COCCity of EaRail
City Approved: \
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of'Eagan, Minnesota
Property Addr ess: 1 +�
COMPLIANCE WIIH INITIAL INSPECTION
—This is to certify that the property listed above has been inspected by authorized City personnel on in - , 201,0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
pi City Sanitary Sewer Permit 1 City Plumbing Permit
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 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
Yellow Copy: City of Eagan (Parcel File)
tc1 ()/
Date
City of kali
rev. 2 23.2010