1767 Serpentine Dr - COC41 City of EaRan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: k f s
COMPLIANCE WITH INITIAL INSPECTION
"iis 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 AFTER 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
NOM: Applicable only if box is checked.: [ 1Based 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 potential blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Others
City Approved: L
Print name
White Copy: Property Owner
\ al_ j O
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapll
rev 2 .23 2010