4188 Running Brook Rd - COCCity of Eapll
City Approved: inr` L.1 "
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 VLVt: vy 1�(��
COMPLIANCE WITH INITIAL INSPECTION
- FE — I his is to certify that the property listed above has been inspected by authorized City personnel on q a , 201 0
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):
n City Sanitary Sewer Petmit n City Plumbing Permit
NOTE :: Applicable only if bo.x is checked: UBased 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 Buil .
Build-up, Root Intrusion, Dip /Settlement in Pipe, Other
l �
(r6 . / X10_136
Signature Date
City of Evan
Yellow Copy: City of Eagan (Parcel File) rev. 2 23, 2010