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4272 Limestone Dr - Inspection Form Residential Sanitary Sewer Service City I I. Compliance Inspection Date , 1 rj_l i i _ Time # 0 pm Record Number Name! r ? . i'"%1 }'l Disk# Time Y'r~ # fp pm _ PID Number, House Number L' ~ Street Name 1 f} Phone I ° . , Alternative Mailing Address rP Ownerl0ccupant Signature Inspector Signature For information call 6S 1.470.2788 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 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 Roots - Poor Pipe Joints - Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition %4" to b" Transition: Length of Service: ! Final Cleanout: ! ; - ' l Notes Number Discharged Total Correctly Incorrectly Unknown Sump pumps Foundation drains s Roof drains ' White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH