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2106 Quartz Lane - Inspection Formr City of Ealai Residential Sanitary Sewer Service Compliance Inspection Date (;;;; ✓ I, 1 l6 r N 7 Disk # PID Number House Number � ( �' Street Name Alternative Mailing Address OwnerlOccupant Signature Compliance 0 No foundation drain connection No roof drain connection O Sump pic not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral inspection Findings 5 am Time T • pm J For information call 65 .470.2788 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 Roots Poor Pipe joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition 4" to 6 "Transition: White Copy: Property Owner �j Length of Service: Yellow Copy: City of Eagan Record Number Lai Phone ,-) t ? c..i • Inspector Signature Obstruction Unable to push past feet i Final Cleanout: Q am pm No Access O No one in O Access to service lateral needed O Inspection refused Entered S L at _ �` �' .__. Pink Copy: SEH Number Discharged Notes } s C' 1 / < / di ? ' �' �' r, ✓� �,� r `_ f! ` , _,-) / } �} / � Total Correctly Incorrectly Unknown Sump pumps Foundation drains f / Roof drains 1 ,, J' .Q i/r7 I.�%[ / r City of Ealai Residential Sanitary Sewer Service Compliance Inspection Date (;;;; ✓ I, 1 l6 r N 7 Disk # PID Number House Number � ( �' Street Name Alternative Mailing Address OwnerlOccupant Signature Compliance 0 No foundation drain connection No roof drain connection O Sump pic not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral inspection Findings 5 am Time T • pm J For information call 65 .470.2788 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 Roots Poor Pipe joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition 4" to 6 "Transition: White Copy: Property Owner �j Length of Service: Yellow Copy: City of Eagan Record Number Lai Phone ,-) t ? c..i • Inspector Signature Obstruction Unable to push past feet i Final Cleanout: Q am pm No Access O No one in O Access to service lateral needed O Inspection refused Entered S L at _ �` �' .__. Pink Copy: SEH