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4152 Nicols Rd - Inspection FormCity of boil Residential Sanitary Sewer Service Compliance Inspection Date ' 1 r Name / ; l�"?"� Disk # PID Number House Number )_ ) 2 Street Name Alternative Mailing Address /" 4" to 6" Transition: White Copy: Property Owner Time Ownerldccupant Signature Compliance O No foundation drain connection A Y I No roof drain connection Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe — Transition i ��' -°� 1 ' am 0 pm Service Lateral Inspection Findings N umber of stacks _ Length of Service: Record Number 7-- Non — Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer Flexible sump pump piping Yellow Copy: City of Eagan Phone 1. {" 1 T I L i Time ' • 'pm • Inspector Signature Obstruction Unable to push past feet Entered S. L at Final Cleanout: For information call 651A70.2788 1 -57 111 Y) No Access O No one in O Access to service . lateral needed O Inspection refused 3 p1C f 1 j � / Notes r , ; 0 / jam c _ l r # i c� "J�' g I 4 "o..! '�i�...= c _/ °mil ,// Pink Copy: SEH Total Number Correctly Discharged Incorrectly Unknown Sump pumps 3 1 J /' \ Foundation drains rl Roof drains i ' City of boil Residential Sanitary Sewer Service Compliance Inspection Date ' 1 r Name / ; l�"?"� Disk # PID Number House Number )_ ) 2 Street Name Alternative Mailing Address /" 4" to 6" Transition: White Copy: Property Owner Time Ownerldccupant Signature Compliance O No foundation drain connection A Y I No roof drain connection Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe — Transition i ��' -°� 1 ' am 0 pm Service Lateral Inspection Findings N umber of stacks _ Length of Service: Record Number 7-- Non — Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer Flexible sump pump piping Yellow Copy: City of Eagan Phone 1. {" 1 T I L i Time ' • 'pm • Inspector Signature Obstruction Unable to push past feet Entered S. L at Final Cleanout: For information call 651A70.2788 1 -57 111 Y) No Access O No one in O Access to service . lateral needed O Inspection refused 3 p1C f 1 j � / Notes r , ; 0 / jam c _ l r # i c� "J�' g I 4 "o..! '�i�...= c _/ °mil ,// Pink Copy: SEH