4070 Mica Tr - COCCity of Iapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eafi
City of Eagan, Minnesota }
Property Address: — 5 C. .l I
COMPLIANCE WITH INITIAL INSPECTION
..This is to certify that the property listed above has been inspected by authorized City personnel on 4 - , 201 Lj
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
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):
C City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkedl — 1Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per' ning or future inspections be performed to minimize a otential blockage due to:
Grease Build -up ootot In , Dip /Settlement in Pipe, Other.: (0(4= P to ' F"4
City Approved: 1 • - - \ jd
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23 2010