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2116 Shale Lane - Inspection FormsResidential Sanitary Sewer Service 41. City i1 EagnCompliance Inspection Date ""/ / 1 ../ Time Name Disk#L PID Number House Number ) Street Name p m Record Number =' m—mu.-. 1_ O am • • O pm Alternativ ailing Address Phone Ownerfrrupant Signature Inspector Signature �J/ For information call 651.470.2788 Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Non -Compliance O Clear. waterconnections to sanitary sewer. O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Obstruction Unable to push past feet No Access 0 No in Access to service lateral needed O Inspection refused Service Lateral Inspection Findings Number of stacks Entered S . at Roots Poor Pipe Joints Mineral Deposits SaglPipe Deflection Damaged Pipe Transition 4" to 6" Transition: Length of Service: Final Cleanout: White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH 9tes 4--f 2_=.Sump �" �r �. � __..1-,---j---/)..„----C-1— `� -- '- __--, � `' f :1, r i %._::` -.a.:-.---,;,::::4-s.---e-.1:,f �., i / + ^ r yf` �,_,' Number CorrectlyIncorrect, Discharged Unknown Total pumps Foundation drains Roof drains White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH 4116111- Ey of Ia an Residential Sanitary Sewer Service Compliance Inspection Date / f Name .6 2 O am Time 4.40 pm Disk # PID Number Record Number Time House Number / i r Street Name▪ . :- —3 Alternative Mailing Address`s l%/% '/%Y Owner/Occupant Signature 0 am pm Inspector Signature For information call 651.470.2788 Compliance No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Non -Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Obstruction Unable to push past feet No Access O No one in O Access to service lateral needed O Inspection refused Service Lateral Inspection Findings _ Number of stacks 'f Entered S Lat Roots/7L Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe 1 Transition -f -. tc1 r,2 i 'r .--"/" j l 4" to 6" Transition: Length of Ser vice: Final Cleanout: 17 White Notes Number Correctly Discharged incorrectly Unknown Total Sump pumps ,,. l,' Foundation drains �i Roof drains /1 (..,.-- �� White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH