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4070 Beryl Rd - Inspection FormtV PI) i/f Residential Sanitary Sewer Service City of Eamo Compliance Inspection Date l✓c< / / /' _ Name 6 efr- PID Number House Number /4) Street Name Alternative MailingAddress Owner /Occupant Signature Compliance No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral Inspection Findings 4" to 6" Transition: - White Copy: Proper ty Owner Time ,� OCi 1 Disk # o,am Number of stacks 221411 D one 2 «r " For information ,call 6511 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 Length=of Service: Yellow Copy: City of Eagan Record Number f .7 lam Time / -o pm 7 Inspector Signature Obstruction Unable to push past 6 °Xfeet Entered S L at - Final Cleanout: I" Notes ) I �^ I 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 Pink Copy: SEH Number Correctly Discharged Incorrectly Unknown Total Sump pumps Foundation drains ___________ . __ - -..w Roof drains tV PI) i/f Residential Sanitary Sewer Service City of Eamo Compliance Inspection Date l✓c< / / /' _ Name 6 efr- PID Number House Number /4) Street Name Alternative MailingAddress Owner /Occupant Signature Compliance No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral Inspection Findings 4" to 6" Transition: - White Copy: Proper ty Owner Time ,� OCi 1 Disk # o,am Number of stacks 221411 D one 2 «r " For information ,call 6511 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 Length=of Service: Yellow Copy: City of Eagan Record Number f .7 lam Time / -o pm 7 Inspector Signature Obstruction Unable to push past 6 °Xfeet Entered S L at - Final Cleanout: I" Notes ) I �^ I 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 Pink Copy: SEH