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2125 Quartz Lane - Inspection FormCity or ER PH Residential Sanitary Sewer Service Compliance Inspection Date 07/ 1 S / /ry Name 4.4i Oridt /> t Disk # PID Number House Number Alternative MailingAddress For information call 1551.470.2788 Compliance d No foundation drain connection No roof drain connection i 0 Sump pit not connected to sanitar y sewer 0 Surnp pump properly piped O sump pump Sag /Pipe Deflection Damaged Pipe C Transition 1 y� r 4i 4" to 6 "Transition: Sump pumps Foundation drains Roof drains `',_S Street Name OwnerlOccupant Signature Total s White Copy: Property Owner • o am Time ! , sa- pm „fr Non - Compliance 0 O O O O Service Lateral Inspection Findings Roots — Poor Pipe Joints Mineral Deposits e /,- -Z_•. J -W Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping W � ~ Number of stacks Entered S L at Length of Service: Number :Discharged Correctly Incorrectly Unknown J 0) Record Number Phone Notes •! 0 a Time / • 1.-1 rm ci`.. /f C-6 !n pe; ar Signature Obstruction Unable to push past feet No Access O No one in O Access to service lateral needed O Inspection refused 71 0 Final Cleanout: fit. Yellow Copy: City of Eagan Pink Copy: SEH