1763 Serpentine Dr - COCCity of Etall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: f a•3 S 2'( p -e.', - -1• \'t
COMPLIANCE WITH INIIIAL INSPECTION
This 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
7 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
NOTB.. Applicable only if box is checked.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 p to ti l blockage due to:
1 U U . on -- 116 - 1 4.6
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
White Copy: Property Owner
Print name
� - ISQ 3) 2 Jae,
Signature Date
City of Eap
Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2090