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2091 Shale Lane - Inspection Form - - d- I Ir Compliance Inspection Dated i 1_ Time a Pm Record Number t ~ G~oam Disk# f f ,1 D Time ~..~7pm PID Number ouse Number Street Name House Alternative MaiiingAddress__ Phone 42, OwnerlOccupa t Signature - Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access 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 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 O Sump pump properly piped sewer, refused No sump pump O Flexible sump pump piping Service Later~aInspection indi~f s Number of statics Entered S.L. at - - Roots -.L Poor Pipe)oints Mineral Deposits Sag/Pipe Deflection _ Damaged Pipe Transition 4" to 6"Transition: Length of Service: / Final Cleanout:~~C J Notes Number Discharged Total Correctly Incorrectly Unknown Sump pumps 0 Foundation drains Roof drains White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH