4071 Mica Tr - COCCity of Eaftan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 46
COMPLIANCE WITH INIIIAL INSPECTION
s is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE Al IER 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):
fl City Sanitary Sewer Permit City Plumbing Permit
111 City of EapIl
NOTE:. Applicable only if box is checked: ' ased 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 ' oat Intrusion 1 , /Settlement in Pipe, Other.: te)G,
C Via'
City Approved: J _� - 1 1 ' 1f^
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel P lie) rev 2 232010