4016 Mica Tr - COC4 City of Eagaa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 40 c r y 0
COMPLIANCE WITH INITIAL INSPECIION
City of Ealan
his 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 r equired
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
fI 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 wor under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked; (Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections beperformed to minimize apotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„
City Approved:
Print name
White Copy: Property Owner
a _L h
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 .23 2010