1481 Thomas Lane - Inspection Form
Residential Sanitary Sewer Service
ity I rlf Compliance Inspection
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Date 1 BPS 1 ! Time , ) O PM Record Number,
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Disk #k Time O Pm
PID Number
House Number 1- r Street Name r~.ir`
Alternative Mailing Address Phone'
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Ownerl6ccupont Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
i~ No foundation drain connection O Clear, water, connections to Unable to push past O No one in
No roof drain connection sanitary sewer feet O Access to service
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O Service later-a[ defects lateral needed
'0 Sump pit not connected to O Defective manholes
sanitary sewer O Sump pump connected to sanitary O Inspection
O Sump pump properly piped sewer, refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at ~y . ;
Roots - _ -
Poor Pipejoints _
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6"Transition: Length of Service: 7 Final Cleanopt:Y F
Notes
Number Discharged
Total Correctly Incorrectly Unknown
f n
Sump pumps
- r
Foundation drains
Roof drains _
White Copy: Piopeity Owner Yellow Copy: City of Eagan Pink Copy: SEH