4058 Mica Tr - COC411 City of Evan
City Approved: T1 V' \ A
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: �� c5 1 C,CC C
COMPLIANCE WIIH INIIIAL INSPECIION
s is to certify that the property listed above has been inspected by authorized City personnel on
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 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked.: Based on a review of the Sewer Service video inspection /report on file, it is
recommended ih tp cl tr or future inspections be performed to minimize a potential blockage due to:
Grease Build -Root Intrusion, DP/Settlement in Pipe, Others a , -
Yellow Copy: City of Eagan (Parcel F ile)
Date
4 City of Evan
, 201
rev 2 23 2010