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2053 Emerald Lane - Inspection FormC113 or Residential Sanitary Sewer service Compliance Inspection Date 77 / /(r 1 ' !i l Name 1 ,' 1 ,` f� Alternative Mailing Address 7 pliance No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped zi q No sump pump Transition ' 4" to b" Transition: (,)f '4 Sump pumps Foundation drains Roof drains White Copy: Proper ry Owner Total 3 1 ! o am Time "" pm ` / Di PID Number House Number Street Name OwnerlOccupant Signa'ture 0 O O O 0 Service Lateral Inspection Findings Roots Poor PipeJoints Mineral Deposits Sag /Pipe Deflection___ Damaged Pipe ?._. I ;F� For information call 65 470.2788 Non - Compliance Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks C Length of Service: [ - Final Cleanout: 7 �.. Number Discharged Correctly Incorrectly Unknown Yellow Copy: City of Eagan Record Number Fr Time • Obstruction Unable to push past feet Entered S.1..at Notes I Phone Inspector Signature o am pm No Access O No one in O Access to service . lateral needed O Inspection r efused > Pink Copy: SEH