1779 Serpentine Dr - COCCity of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr opet ty Address: - 19 )( ‘, 1L l "r' \'-�_.
COMPLIANCE WIIH INITIAL INSPECTION
r 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 AFTER CORREC TIVE WORK PERT ORMED
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
NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfo ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 3( Ft C Q
City Approved:
Print name
White Copy: Property Owner
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
l la i )(
Date
A City of Evan
rev 2 23 2010