1795 Serpentine Dr - COCCity of EaRall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ' ci S-{' Vf , V\-.0 0 1
COMPLIANCE WIIH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201 I
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECTIVE 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 required corrective repair work under (check all that apply):
Fl City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked. fBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be pelf ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Dtherr ��� E F \
C." — `f 7 , ) l 1 . � � � 3� I �l-
City Appr
Date
Print name
While Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
City of EaRaa
rev 2