4190 Running Brook Rd - COC4110 City of Evan
City Approved: t Vv`---
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t " \. Q l 0 l Vl Y\ i Y6 6 eo Q%�J
COMPLIANCE WITH INITIAL INSPECTION ' l
fhis is to certify that the property listed above has been inspected by authorized City personnel on q " `{ , 2011/
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 PIumbing Permit
NOTE: Applicable only if box is checked. nBased 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 -u , Root Intrusion, Dip /Settlement in Pipe, Others
�C3 C7 \A
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Signature
Yellow Copy: City of Eagan (Parcel Pile)
Date
City of Eapli
rev 2 23 2010