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4064 Nicols Rd - Inspection FormsDated g / # (� Time Nam J i`isk # PID Number Street Name House Number Alternative Mailing Address 7 4" to 6 "Transition: White Copy: Property Owner Owner/Occupant Signature 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 City of End afl Residential Sanitary Sewer Service Compliance Inspection Non - Compliance ,1_9 Record Number Notes Time Phone c) For information call 651.470.2788 Obstruction inspector Signature O Clear water connections to Unable to push past sanitary sewer feet. O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Final Cleanout: Yellow Copy: City of Eagan��y 1,, • O am • O pm No Access O No one in Access to service lateral neede O Inspection refused � c r 1 -, ▪ 7 ` J l Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains Dated g / # (� Time Nam J i`isk # PID Number Street Name House Number Alternative Mailing Address 7 4" to 6 "Transition: White Copy: Property Owner Owner/Occupant Signature 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 City of End afl Residential Sanitary Sewer Service Compliance Inspection Non - Compliance ,1_9 Record Number Notes Time Phone c) For information call 651.470.2788 Obstruction inspector Signature O Clear water connections to Unable to push past sanitary sewer feet. O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Final Cleanout: Yellow Copy: City of Eagan��y 1,, • O am • O pm No Access O No one in Access to service lateral neede O Inspection refused � c r 1 -, ▪ 7 ` J l Pink Copy: SEH Sump pumps Foundation drains Roof drains Cit! of Fa u Residential Sanitary Sewer Service Compliance Inspection Date / / � 1 Name 1 1.0 Alternative Mailing Address ompliance Transition 4" to 6" Transition: / 7 F White Copy: Property Ownex Total Time Disk# PO Number House Number l ' Street Name OwnerlOccupant Signature For information call 65 No foundation drain connection 0 No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump 0 Service Lateral inspection Findings A • • O O O am Pm Non- Compliance 1 Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks Number Discharged Correctly Incorrectly Unknown Phone r.: Record Number. • f� Time • y{ PanIni Notes Inspect Signature Obstruction Unable to push past feet Roots No Access O No one in Length of Service: f 9 Anal Cleanout: O Access to service lateral needed O Inspection refused Entered S at \ f Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe . Yellow Copy: City of Eagan Pink Copy: SEH