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3789 South Hills Cir - Inspection Form Residential Sanitary Sewer Service City I Ir Compliance Inspection 7 Date_~ _I~ Ll f Time pm Record Number _ 1~ J f^ 1 _'a~ f f f LIE Name i/iDisk# Time Q am a1"-` PID Number _ House Number Street Name Alternative Mailing Address Phone a Ownerl0ccupant Signature f Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access it D No foundation drain connection O Clear water connections to Unable to push past O No one in ! sanitary sewer feet, O No roof drain connection 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 refused O Sump pump properly piped sewer O No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks _ I Entered S L at ~p - Roots _ - Poor- PipeJoints _ Mineral Deposits _ Sag/Pipe Deflection - Damaged Pipe - - Transition 4" to 6"Transition: Length of Service: N Final Cleanout:Fe !!r ~.1 Notes Number Discharged Total Correctly Incorrectly Unknown r f Sump pumps Foundation drains ' Roof drains White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SFH