3984 Mica Tr - COCCity of kap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, Minnesota
Property Address: " ?$ / frit 7-; L
COMPLIANCE WITH INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on 4 , 2011
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
n Ihis 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):
City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE: Applicable only if box is checked Based on a review of the Sewer Service video inspectionheport on file, it is
recommended that per iodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
City Approved:
Print ac
White Copy: Property Owner
7
i pro 1 5747
Signature ; Date
Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23 2010