3889 Serpentine Cir - COC411 City of Eagan
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECIION
1
City Approved:
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
This is to certify that the poperty listed above has been inspected by authorized City personnel on
and fbund to be in compliance with Section :3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section . 40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
NOTE: Applicable only if box is checked:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perf ed to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 4 kplo 0 1 - tO l.. - 1 3 - 16
/ )\A/V•- i k -" / "! 2- i
Print name Signature Date
City of Epp
, 2011
rev. 2 23 2010