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4840 Steeplechase Cir - Inspection Forms r Compliance Inspection DateQ 1'}5I Di Time/ 7:30 02- Inspection Number -S T PM Name DVD Time o PM _ m House Number J Street Name c4 f~C L P Alternative Mailing Address Phone r,67411tfs." OwnerlOccupant Signature Inspector Signature 0 Compliant 0 Non-Compliant ForAppointments call Incomplete Inspection f_ /t,~.,;ZS 612-219.4231 Service Lateral Inspection Findings Number of stacks Entered S. L at Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Notes/Other 4" to 6" Transition: Length of Service Final Cleanout: Sump Pumps and Foundation Drains Notes Sump Pumrs Foundation Drains Number: Number: /7,.5 [,umber Discharged: Number Discharged: ''I~ ; P Foe Correctly Correctly Incorrectly _ Incorrectly fN_ Y Unknown Unknown ,Further Investigation Z~/7 -21~ p No one home left notice on door 0 Access to Service Lateral needed 7~`~ _77 0 Cover replaced 'rime 7 Q Obstruction 0 Review Video r' White Conv_ PrnnPrrv nwnar YPlln... r'nn~.•,t^[r: T 'sue' - a:.~. rcu V. r--- - Compliance Inspection SI I - _ „ 'Time O am Inspection. Number 1 I-— PM am DVD ® Time C G umber _ ~'fv T Street Name Jib, C"rr'f11 tPc C. - - dive Mailing Address Phone f 0 erlQcc pant !gnat ure Inspector Signature 0 Compliant ForAppointments call 0 Non.-Compliant 612.219.4231 Incomplete Inspection -W.AC(,e` 7t. Service Lateral Inspection Findings Number of stacks Entered S.L. at _WS - F Roots Poor Pipe joints _ Mineral Deposits SaglPipe Deflection Damaged Pipe - _ - _T--~~_ 7 r, ._Z r :_f y Notes/Other' < (1. 12 L-)4,4 _7 4" to b"Transition: Length of Service: Final Cleanout: Sump Pumps and Foundation Drains Notes Sump Pumps Foundation Drains Number: _J_ Number: Number Discharged: Number ►scharged: I j L Correctly _ Correctly Incorrectly _ Incorrectly vf~= fiJ / Z/1 } r Unknown Unknown Further Investigation AV(, -r 0 No one home - left notice on door, i Access to Service Lateral needed - 0 Cover replaced Time U Obstruction ~'Ll. (rr j c vs f.. r< s 7' 7-- 0 Review Videol0', / fL f r White Copy: Property Owner Yellow Copy: City of Eagan l ( Pink Copy: SEH