1424 Rebecca Lane - Inspection Form 2
Residential Sanitary Sewer Service
City or g Compliance Inspection
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Date11 4 1 Time • wpm Record Number
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Name '°(i'/~f Disk # _ Time • o pm
PID Number
House Number' Street Name 1~ t~7
Alternative MailingAddress ' % Phone1/{
OwnerlOccupant Signature inspector Signature
For information call 651.470.2788.
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear, water connections to Unable to push past O No one in
O No roof drain connection sanitary sewer feet. Access to service
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
No sump pump O Flexible sump pump piping
l
Service Lateral Inspection Findings Number of stacks Entered S L,at
Roots
Poor Pipejoints -
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Notes
Number Discharged a
Total Correctly Incorrectly Unknown -"~c s~ y(~✓ % x--
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Sump pumps ~~G c* z;,
rev/~
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH