3900 Mica Tr - COCCity of Eaian
COMPLIANCE WIIH INIIIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Ptoperty Address: 3900 A4 i 6\ �—
Ihis is to certify that the property listed above has been inspected by authorized City personnel on _, 2011_
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
n 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 — City Plumbing Permit
City Approved:
White Copy: Property Owner
NOTE: Applicable only if box is checked: a : ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to mi imize a potential blockagj to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: soepeilectit,y, in pipet. a 3lrr t 31-42.4
1'
aid tr-0-4
Print name G Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
r 3 /(
rev. 2 23.2090