3990 Mica Tr - COC4,11 City of Baran
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, / " `' Minnesota
Property Address: P3 9 ? o f ca
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on � , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
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):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE, Applicable only if box is checked: ased on a review
recommended that periodic cleaning or future inspections bepe
Grease Build p, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: i 3 /
Print name Signature
of the Sewer Service video inspection /report on file, it is
per
to inimi a potent l blockage due to:
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eaaall
5/ (l /1
Date
rev 2 23 2010