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1481 Thomas Lane - Inspection Form Residential Sanitary Sewer Service ity I rlf Compliance Inspection r 0_aj', am., Date 1 BPS 1 ! Time , ) O PM Record Number, i Disk #k Time O Pm PID Number House Number 1- r Street Name r~.ir` Alternative Mailing Address Phone' i 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 t> 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