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2085 Copper Lane - Inspection Form-_J t Name t(0)7A City of Gaya Residential Sanitary Sewer Service Compliance Inspection -�, Date/: /mil {(. PID Number House Number . i .i - �, ._ Street Name Alternative Mailing Address l Compliance /r Disk # For information .call 651A70.2788 O No foundation drain connection 0 r No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped l No sump pump 4" to 6 "Transition: White Copy: Property Owner OwnerlOccupant Signature Time 020 ieam • pm Non- Compliance O O O O r' r i Phone Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe 1 Transition � I � Length of Service: Yellow Copy: City of Eagan Record Number ,,_._,, a 7 , T ime _—.J • Inspector Signature Obstruction Unable to push past feet Entered S.L at t.` 0 a Pm No Access O No one in O Inspection r efused Pink Copy: SEH O Access to service . lateral needed Final Cleanout: �� (I, :24 Total Note f i / % /. Number Discharged Correctly Incorrectly Unknown Sump pumps - ®_ Foundation drains Roof drains ..._) -_J t Name t(0)7A City of Gaya Residential Sanitary Sewer Service Compliance Inspection -�, Date/: /mil {(. PID Number House Number . i .i - �, ._ Street Name Alternative Mailing Address l Compliance /r Disk # For information .call 651A70.2788 O No foundation drain connection 0 r No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped l No sump pump 4" to 6 "Transition: White Copy: Property Owner OwnerlOccupant Signature Time 020 ieam • pm Non- Compliance O O O O r' r i Phone Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe 1 Transition � I � Length of Service: Yellow Copy: City of Eagan Record Number ,,_._,, a 7 , T ime _—.J • Inspector Signature Obstruction Unable to push past feet Entered S.L at t.` 0 a Pm No Access O No one in O Inspection r efused Pink Copy: SEH O Access to service . lateral needed Final Cleanout: �� (I, :24