4670 Penkwe Way - COCCity of Eaaali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minneso
1...16
0
COMPLIANCE WIIH INITIAL INSPECTION
Ibis is to certify that the property listed above has been inspected by authorized City personnel on 1 1/2 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
1
City Sanitary Sewer Permit 1 City Plumbing Permit
White Copy: Property Owner
City Approved: 1
Print name
NOTE: Applicable only if box is checked: I (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:
Signature
Yellow Copy: City of Eagan (Parcel File)
)( (2_ IA)
I 1 Ito
Date
11 City of EapIl
rev 2.23 2010