1783 Serpentine Dr - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Evan
City of Eagan, Minnesota
Property Address: �� E'v� v\ L
COMPLIANCE WIIII INITIAL INSPECTION
P ---This is to certify that the property listed above has been inspected by authorized City personnel on �- , 201 t
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI IER 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 required corrective repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked:IBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic_clning or future inspections be performed to minimize a potential blockage due to:
Grease Build-up, rP6ot Intrusion Dip /Settlement in Pipe, Other: 4q • r 90
City Approved: 3 l W1_
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
/ 3 � 3 f p 1
Date
rev 2 .23 2010