2124 Sapphire Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
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4 11 ., 11111. City Eapo
Residential Sanitary Sewer Service
Compliance Inspection
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Date :K/ 0 1 /c Time AY_ • ,' ,pr
Narne 1 /f6 „ s ue - Disk #
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PID Number
House Number 247e/ Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
'No foundation drain connection
1 , 1 Er No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks Entered S.L. at
Roots $ > ."
Poor Pipe Joints
Mineral Deposits X . " a j / /
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Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: yaw
White Copy: Property Owner
Owner /Occupant Signature
0
0
�t i >jLength of Service:
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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
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
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Record Number
Time
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4 p
P ne .re:C! �.�°''- 178
1/1 / /
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Inspector Signature
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Obstruction
Unable to push past
feet
i tre-1, J G
No Access
O No one in
Final Cleanout: 4 �-
O Access to service
lateral needed
O Inspection
r efused
Notes 0 - e y b ez_ ie >
Pink Copy: SEH