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2054 Shale Lane - Inspection Form4 1111. City of Eaftao Residential Sanitary Sewer Service Compliance Inspection Date 071 E 7 / /c, Name Krell:77 67(7,4://4 Disk # PID Number House Number e'6f Alternative Mailing Address Compliance (6 No foundation drain connection l e No roof drain connection O Sump pit not connected to sanitar y sewer O Sump pump properly piped i lgrNo sump pump Service Lateral Inspection Findings Roots • -$ 7 $ 4" to 6" Transition: /417 White Copy: Property Owner 9 am Time /f : r- 7)," Pm Street Name Owner/05e, ant Signature Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Y -FE- [;I 1J Record Number F 1 hone Non 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 (— Length of Service: ( Yellow Copy: City of Eagan. Time • (LC- Fpm Inspector Signature For information call 651.470.2788 Obstruction Unable to push past feet No Access O No one in O Access to service lateral needed O Inspection r efused Number of stacks Entered S L at , -- 191 - Final Cleanout: Pink Copy: SEH Nurnber Correctly Discharge.d - Incorrectly Unknown N 4 fi 71 1, • otes c W /.7/ F LA r,--67 Total Sump pumps Foundation drains Roof drains _ 4 1111. City of Eaftao Residential Sanitary Sewer Service Compliance Inspection Date 071 E 7 / /c, Name Krell:77 67(7,4://4 Disk # PID Number House Number e'6f Alternative Mailing Address Compliance (6 No foundation drain connection l e No roof drain connection O Sump pit not connected to sanitar y sewer O Sump pump properly piped i lgrNo sump pump Service Lateral Inspection Findings Roots • -$ 7 $ 4" to 6" Transition: /417 White Copy: Property Owner 9 am Time /f : r- 7)," Pm Street Name Owner/05e, ant Signature Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Y -FE- [;I 1J Record Number F 1 hone Non 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 (— Length of Service: ( Yellow Copy: City of Eagan. Time • (LC- Fpm Inspector Signature For information call 651.470.2788 Obstruction Unable to push past feet No Access O No one in O Access to service lateral needed O Inspection r efused Number of stacks Entered S L at , -- 191 - Final Cleanout: Pink Copy: SEH