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4650 Kingsbury Dr - Inspection FormCity of t,a Residential Sanitary Sewer Service Compliance Inspection Date 1 / / } Name Ai4 t 4171 House Number Roots 4" to 6 "Transition: . - White Copy: Pr operty Owner 2% o am Time . • pm Disk # PID Number r 97 Alternative Mailing Address Phone r';: 2-r#-'r "°' OwnerIOccupant Signature Compliance 0 No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer , Sump pump properly piped 0 No sump pump Service Lateral Inspection Findings 7 7 3.. Poor Pipe Joints. c) Street Name s' For information call 651.470.2788 Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Mineral Deposits Sag /Pipe Deflection Damaged Pipe • . �/ a' ., Transition i • 1 Length of Service: a 2T 1 ✓ Record Number . • ?---) o am Time . • i Pm { Inspector Signature Obstruction Unable to push past feet Number of stacks Entered S. at Notes Na Access O No one in O Access to service lateral needed O inspection refused r) 1) Final Cleanout: Yellow Copy: City of Eagan Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps (' Foundation drains ti Roof drains City of t,a Residential Sanitary Sewer Service Compliance Inspection Date 1 / / } Name Ai4 t 4171 House Number Roots 4" to 6 "Transition: . - White Copy: Pr operty Owner 2% o am Time . • pm Disk # PID Number r 97 Alternative Mailing Address Phone r';: 2-r#-'r "°' OwnerIOccupant Signature Compliance 0 No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer , Sump pump properly piped 0 No sump pump Service Lateral Inspection Findings 7 7 3.. Poor Pipe Joints. c) Street Name s' For information call 651.470.2788 Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Mineral Deposits Sag /Pipe Deflection Damaged Pipe • . �/ a' ., Transition i • 1 Length of Service: a 2T 1 ✓ Record Number . • ?---) o am Time . • i Pm { Inspector Signature Obstruction Unable to push past feet Number of stacks Entered S. at Notes Na Access O No one in O Access to service lateral needed O inspection refused r) 1) Final Cleanout: Yellow Copy: City of Eagan Pink Copy: SEH