4011 Mica Tr - COC4101 City of EapIl
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
PtopettyAddress: Lioll f \iCo 1■cC
COMPLIANCE WITH INITIAL INSPEC HON
R — This is to certify that the property listed above has been inspected by authorized City personnel on 20_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 City Plumbing Permit
NOTE: Applicable only if box is checked.: Based on a r eview of the Sewer Service video inspection /report on file, it is
recommended that per cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:'
Print name
Yellow Copy: City of Eagan (Parcel F ile)
i '--71 - /aG 11
Date
City of Eapl
rev 2 23 2010