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4100 Nicols Rd - Inspection FormSump pumps 1, A _— ,- \ Foundation drains -- 1 0 Roof drains • city of Eag.au Residential Sanitary Sewer Service • Compliance inspection Date 't2-5 / - / Name PID Number House Number Alternative flailing Address For information call 651.470.2788 Compliance O No foundation drain connection o No roof drain connection 0 0 1 Sump pit not connected to sanitary sewer Sump pump properly piped No sump pump Owner/Occupant Signature Service Lat ral Inspection Findings Roots 6i Poor Pipe Joints Mineral Deposits /0 7 Sag/Pipe Deflection Damaged Pipe Transition 4-1 4" to 6" Transition: White Copy: Property Owner Jit/ 4.4k1 11 7 Time Disk # Street Name 9 am -41-30 pm 0 s 4/2 ( Non-Compliance h i. Clear water connections to sanitary sewer Z8 (2 Zi O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Length of Service: Number Discharged Total Correctly Incorrectly Unknown 1 Record Number 7 7-7 k - .5r Time • infector Signature - o am Pm (e 0? "-.Q5- Pho • // /77-i /// Obstruction No Access Unable to push past 0 No one in feet O Inspection refused Number of stacks 1 Entered 5 L at 7 O Access to service lateral needed Final Cleanout: Notes ( 4 et"; L./Ad t '2?-t2 -1 2 f p7- 1 = Yellow Copy: Ci of Eagan . (i C ; • P/ Pink Copy: SEH