1766 Serpentine Dr - COCCity of Eagan
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fo
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: I - to Se--\(c} ∎ VU —
COMPLIANCE �1
COMPLIANCE WITH INITIAL INSPECTION
hrs'is to certify that the property listed above has been inspected by authorized City personnel on a ` , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:. j Based on a r eview of the Sewer Service video inspection report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
�' vw , �,. f --6 "D �
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
411 City of EaRaa
rev 2.23.2010