4064 Mica Tr - COC
SANI-TARP SEWER SYSTEM
City of Eapn CER'TIFICAI E OF COMPLIANCE for My of Evan
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (E,~ (C 0- 71D~0
COMPLIANCE WIIII INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on 2016
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
❑ 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 checkedt--~gBased on a review of the Sewer Service video inspection/report on file, it is
recommended thatperiodi aping or future inspections beperformed to minimize a potential blockage due for
Grease Build-up, of Intrusion, ip/Settlement in Pipe, Other:.- -
City Approved: UM - I yV1,-
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010
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