1710 Woodgate Lane - COCCity of }aOall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Fagan, Minnesota
Property Address: 11 L r4 E Lg.
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 J i a , 201 t
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
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 n City Numbing 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, Others
City Approved: JPPMeJ
Print name
White Copy: Property Owner
Signa r Date
41 City of EaRall
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010