4198 Running Brook Rd - COC411 City of EaRaQ
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L 4 t
City Approved: 1/vt
Print name
LOA ivy YOB L �C
Signature
COMPLIANCE WITIi INITIAL INSPECTION
FM - I:his is to certify that the property listed above has been inspected by authorized City personnel on - , 201 6
and found to be in compliance with Section 3 40 of the City Code and no corrective 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE Applicable only if box is checked: riBased 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, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File)
Date
411 City of Eapa
rev 2 23 2010