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2045 Bluestone Lane - Inspection Form
City o!Ia ri � Residential Sanitary Sewer Service Compliance Inspection Dates 1 / )(2 Time Name ) ) o � � - � ". Disk # PID Number House Number Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection 4" to 6 "Transition: Compliance No foundation drain connection No roof drain connection Sump pit not connected toSump pit not connected to sanitary sewer Sump pump properly piped 0 No sump pump OwnerlOccupant Signature Service Lateral inspection Findings Roots Damaged Pipe ) r , ` ) 1) Transition -r / f White Copy: Propei ty Owner 7 , 1 Street Name am 0 pm 2 / Alternative Mailing Address I Phone - _ `� 1 / 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 of stacks Length of Service: For information call 651.470.2788 Yellow Copy: City of Eagan Record Number 2Time o pm inspector Signature Obstruction Unable to push past feet Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Entered S.L.at r'._r - - --_ - Pink Copy: SEH Number Correctly Discharged Incorrectly Unknown Notes Total Sump pumps � -- Foundation drains, --- Roof drains / /? ) ©LJc / J( ,'/? City o!Ia ri � Residential Sanitary Sewer Service Compliance Inspection Dates 1 / )(2 Time Name ) ) o � � - � ". Disk # PID Number House Number Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection 4" to 6 "Transition: Compliance No foundation drain connection No roof drain connection Sump pit not connected toSump pit not connected to sanitary sewer Sump pump properly piped 0 No sump pump OwnerlOccupant Signature Service Lateral inspection Findings Roots Damaged Pipe ) r , ` ) 1) Transition -r / f White Copy: Propei ty Owner 7 , 1 Street Name am 0 pm 2 / Alternative Mailing Address I Phone - _ `� 1 / 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 of stacks Length of Service: For information call 651.470.2788 Yellow Copy: City of Eagan Record Number 2Time o pm inspector Signature Obstruction Unable to push past feet Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Entered S.L.at r'._r - - --_ - Pink Copy: SEH