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2114 Jade Lane - Inspection Form Residential Sanitary Sewer Service. City I Ir Compliance Inspection r Gj s p" am Date _ l ~ r 1 / Time p Prn Record Number 1 Name rC . L Disk # dr Time r /0 o Pm PID Number 111_4Street Name [-louse Number Alternative Mailing Address Phone,' y e - OwnerlOccupant Signature .l ✓ 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 sanitary sewer, feet O Access to service No roof drain connection O Service lateral defects lateral needed O Sump pit not connected to 0- Defective manholes O Inspection sanitary sewer, '10 Sump pump connected..so sanitary refused O Sump pump properly piped sewer No sump pump O Flexible sump pump piping - Service Lateral Inspection Findings Number of stacks Entered S L. at C' f . Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition 4" to &"Transition: __eTngtl Service: 5+' Final Cleanout:~ Notes Number Discharged Total Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains - - - n White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH