1782 Serpentine Dr - COC4 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 S -e " vJ IJ 1f e
COMPLIANCE WITH INITIAL INSPECTION
This 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 AF TER CORREC IIVE WORK PERFORMED
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 r equired corrective repair work under (check all that apply):
i
City Sanitary Sewer Permit City Plumbing Permit
411 City of Evan
NOT. Applicable only if box is checked :TBased on a review of the Sewer Service video inspection /report on file, it is
recommended that peeiodiening or future inspections be performed to m'nimize a potential blockage due to:
Grease Build- up(oot Intrusio Dip /Settlement in Pipe, Other 1
City Approved: --- ti v\A„.
Print name
White Copy: Property Owner
.� 1 L f
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23 2010