4023 Mica Tr - COCCity of Ewa
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 023 te 17/Zj L
Print name
White Copy: Property Owner
COMPLIANCE WIT H INITIAL INSPECTION
g . This is to certify that the property listed above has been inspected by authorized City personnel on L , 201 1
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked I !Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
diV
City of kali
Signature Date
Yellow Copy: City of Eagan (Parcel Tile) rev 2 23.2010