4668 Penkwe Way - COCCity of Eajll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
X i Ihis is to certify that the property listed above has been inspected by authorized City personnel on Z
City Approved: '1 l CJ�� / „� e / () L e
Print name V Signature Date
Yellow Copy: City of Eagan (Parcel Fife)
City of Eagan
City of Eagan, Minnesota
Property Address: �-- V) ay'
COMPLIANCE WITH INITIAL INSPECTION
,201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was requited_
COMPLIANCE AFTER 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 required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked: I IBased on a review of the Sewer Service video inspection /report on file, it is
recommender) that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others
rev 2 23.2010