3948 Mica Tr - COC4 City of EagaIl
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 'ICI 4g f rA Z Cr�
COMPLIANCE WITH INITIAL INSPECTION
t his is to certify that the property listed above has been inspected by authorized City personnel on ' r te , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE 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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked sed on a review of the Sewer Service video inspection /report on file, it is
recommended that .er'r.dirl.eaning or future inspections be performed to minimize a potential blockage due to:.
Grease Build -up, ` . _ tr Dip/Settlement in Pipe, Other: 627_ C `
City Approved: ` d1>L l `- / Vti'lr' ... / 1°// -I ,;6 1
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapil
rev 2 23 2010