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4670 Beacon Hill Rd - Inspection Form 1 vice Residential Sanitary Sewer Ser City I p Compliance Inspection Date _„1 Time rPm Record Number otam Name Disk# ? } Time _ f j Pm PID Number r' ' Street Name r r ' / l House Number - Phone , Alternative Mailing Address _ - -'V Ownerl0ccupant 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 A , sanitary sewer, feet O Access to service f© No roof drain connection ~y O Service lateral defects lateral needed ~U Sump pit not connected to O Defective manholes sanitary sewer O Inspection O Sump pump connected to sanitary refused t) Sump pump properly piped sewer O No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number, of stacks Entered S L at Roots- Poor Pipejoints - - Mineral Deposits - Sag/Pipe Deflection Damaged Pipe - Transition L , ~w4 4" to 6"Transition: Length of Service: Final Cleanout: Notes i Number Discharged Total Correctly Incorrectly Unknown "i ' •t J ~ = r Sump pumps Foundation drains Roof drains White Copy: Property Owner Yellow Copy: City of Eagan Pink Capy SEH