4842 Sheffield Lane - COCCOMPLIANCE AFTER CORRECTIVE WORK PEIRfORMED
City of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
and found to be in compliance with Section 3 44 of the City Code and no corrective work was required
4 City of Eapil
City of Fagan, Minnesota
Property Address: i Yl � — i � VL
COMPLIANCE WAIT INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on t D 201 0
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):
I
City Sanitary Sewer Permit n 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 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.:
City Approved: 1i l �S'� /v,-.. _.4�
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Fagan (Parcel File)
rev 2 .23 2010