3925 Mica Tr - COC411 , 11/ City of Eapu
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eagan
City of Eagan, Minnesota
Property Address: 3G1 1 v ` CO-- YC
COMPLIANCE WITH INI IIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on ' 1 , 201
and fbund to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE 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 n City Plumbing Permit
NOTE: Applicable only if box is checked:F on a review of the Sewer Service video inspection /report on file, it is
recommended that periodi Wing or future inspections be performed to m iinimize a potential blockage due to:
Grease Build -up, of intr iPip /Settlement in Pipe, Other:
City Approved: \\ 1M
Print name
White Copy: Property Owner
uu,
1 1 0 -
Signature
Yellow Copy: City of Fagan (Parcel F ile)
Date
rev. 2 23.2010