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4322 Nicols Rd - Inspection Form`I!R° City of liaRai Residential Sanitary Sewer Service Compliance Inspection Date 'l 1f PO Number House Number Alternative Mailing Address )b-&- =tom . - -- Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump 4" to 6 "Transition: White Copy: Property Owner Time Name Ser vice Lateral Inspection Findings Street Name Owner /Occupant Signature am pm For information call 65 Non - Compliance 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 Number of stacks Entered S..L..at Roots Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Record Number . Inspector Signature Obstruction Unable to push past feet. Final Cleanout: ain Pm Phone cl/ . .. No Access O } No one in �7 Access to service later ] eeded O Insipection refused � �f!� , inlr CopCopp SEH Yellow Copy: City of Eagan v (� ��- � �(.- 1 �i Total Notes / l ' ( __.�E '"-1 <°4(. j n ,_ , ( " p i _ � /ii.. /lA> > -. .f �, _ ? !- fC�,jG ; - !� f() / 4 y Number Discharged Correctly incorrectly Unknown Sump pumps Foundation drains Roof drains `I!R° City of liaRai Residential Sanitary Sewer Service Compliance Inspection Date 'l 1f PO Number House Number Alternative Mailing Address )b-&- =tom . - -- Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump 4" to 6 "Transition: White Copy: Property Owner Time Name Ser vice Lateral Inspection Findings Street Name Owner /Occupant Signature am pm For information call 65 Non - Compliance 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 Number of stacks Entered S..L..at Roots Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Record Number . Inspector Signature Obstruction Unable to push past feet. Final Cleanout: ain Pm Phone cl/ . .. No Access O } No one in �7 Access to service later ] eeded O Insipection refused � �f!� , inlr CopCopp SEH Yellow Copy: City of Eagan v (� ��- � �(.- 1 �i 4 City of Eapi Residential Sanitary Sewer Service Compliance Inspection Date: Name 1 House Number Compliance Sr PID Number Alternative Mailing Address No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral Ir,sp`ection Findings Roots .1 �` ��., 4" to 6 "Transition: White Copy: Property Owner Owner /Occupant Signature a Disk # Time ') - -I am 0 pm 1 Street Name ..� .. . For information call 651.470.2788 Non - Compliance 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 Number of stacks 1 Poor Pipe Joints Mineral Deposits SaglPipe Deflection Damaged Pipe Transition Length of Service: Yellow Copy: City of Eagan Record Number .' 1 Phone . ( • am Time J o pm Entered S . at Obstruction Unable to push past feet Inspector Signature I; r - „ °- ;". .. Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused I Pink Copy: SEH Number Correctly Discharged Incorrectly Unknown Notes Total Sump pumps ;° 'g Foundation drains ,.... Roof drains 4 City of Eapi Residential Sanitary Sewer Service Compliance Inspection Date: Name 1 House Number Compliance Sr PID Number Alternative Mailing Address No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral Ir,sp`ection Findings Roots .1 �` ��., 4" to 6 "Transition: White Copy: Property Owner Owner /Occupant Signature a Disk # Time ') - -I am 0 pm 1 Street Name ..� .. . For information call 651.470.2788 Non - Compliance 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 Number of stacks 1 Poor Pipe Joints Mineral Deposits SaglPipe Deflection Damaged Pipe Transition Length of Service: Yellow Copy: City of Eagan Record Number .' 1 Phone . ( • am Time J o pm Entered S . at Obstruction Unable to push past feet Inspector Signature I; r - „ °- ;". .. Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused I Pink Copy: SEH