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2123 Shale Lane - Inspection FormSump pumps 7) Foundation drains ' f ' Roof drains w l City oi'Fa a Residential Sanitary Sewer Service Compliance Inspection Date l / I ].r Name ) o . Alternative Mailing Address o pliance No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped 1 i No sump pump 4" to 6 "Transition: F� 11 White Copy: Property Owner Time Service Lateral Inspection Findings isk # Owner /Occupant Signature •06, ` `}}ir�'� am •/O pm Non - Compliance O O O O O Number of stacks 1 PID Number House Number Street Name Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping a i i Length of Service: (� Number Discharged Total Correctly Incorrectly Unknown Record Number Notes • • 1 Time • • Phone =- ) °,j r✓ r ' 1 ; Inspector Signature Obstruction Unable to push past feet EnteredS � r Final Cleanout: 0 pm am For information call 65 1.470:2788 No Access O No one in O Access to service lateral needed O Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition / r }.'3; ( ��,I -f Yellow Copy: City of Eagan Pink Copy: SEH