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2058 Jade Lane - Inspection FormCity of Caen Residential Sanitary Sewer Service Compliance inspection / • • � °vam Date{' Time �� O ph, Name i'/ J"'77/ } PID Number — > . House Number 3 Street Name Altern Mailing Address For information. call 651.470.2788 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 Service Lateral Inspection Findings Number of stack ) Entered S L.at /fro C.LS _ SS (2 Roots Disk # Oivne'r /Occupor�i Signature L—Ice -in 1 -CU -[J J ... 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 Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to b" Transition: Length of Service: White Copy: Property Owner Yellow Copy: City of Eagan Record Number Obstruction Unable to push past feet. Notes Final Cleanout: 0 am Time • o pm Pho a Sri 2 1 inspector Signature No Access O No one in t 'Ci . Access to service \ lateral needed O Inspection refused r r Pink Copy: SEH LJ Number Correctly Discharged Incorrectly Unknown Total Sump pumps Foundation drains Roof drains City of Caen Residential Sanitary Sewer Service Compliance inspection / • • � °vam Date{' Time �� O ph, Name i'/ J"'77/ } PID Number — > . House Number 3 Street Name Altern Mailing Address For information. call 651.470.2788 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 Service Lateral Inspection Findings Number of stack ) Entered S L.at /fro C.LS _ SS (2 Roots Disk # Oivne'r /Occupor�i Signature L—Ice -in 1 -CU -[J J ... 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 Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to b" Transition: Length of Service: White Copy: Property Owner Yellow Copy: City of Eagan Record Number Obstruction Unable to push past feet. Notes Final Cleanout: 0 am Time • o pm Pho a Sri 2 1 inspector Signature No Access O No one in t 'Ci . Access to service \ lateral needed O Inspection refused r r Pink Copy: SEH LJ Notes Number D Discharged Total C Incorrectly U Unknown Sump pumps f f �j` Foundation drains 7 7 ° °'�" ° °""� " "�` Roof drains Date ` "- // / Name f� PID Number House Number Compliance 4" to 6" Transiti6n: City nE taaa Residential Sanitary Sewer Service Compliance Inspection `' ./77X . Disk # Alternative Mailing Address ow' rierlOccupant Signature For information call 651.470:2788 No foundation drain connection - No roof drain connection Sump pit not connected to sanitary sewer 0 Sump pump properly piped Y'No sump pump Service Lateral Inspection Findings Roots -" .L. ' f Poor Pipe Joints Mineral Deposits 0 '. .z::7:1--- /C" f' i Sag/Pipe Deflection Damaged Pipe 1 e6. } Transition z }� �' White Copy: Property Owner /1 • F 'am Time /- •__50 'p pm Street Name 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 ( Entered S L at 77, /s i a "rG_cS) Length of Service: L% Yellow Copy: City of Eagan Record Number r 3 Time Obstruction Unable to push past feet • Fr ' Inspector Signature am ) Pnl Phone ) �� - r_ No Access O No one in O Access to service lateral needed O Inspection r efused Final Cleanout: Pink Copy: SEH