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2092 Shale Lane - Inspection FormCity of Fain Residential Sanitary Sewer Service Compliance Irnspection Date l / , Name 7, # pi [ ND Number House Number f (/2 1 Alternative Mailing Address Compliance O No foundation drain connection 0 Clear water connections to sanitary sewer O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings Number of stacks Rocs Poo ipej rots Fl, ' .J -----' �', " � °> Mine I eposits .i -�-`' -,�'- : " Sa /P Deflection / `` , � � -°,�' . / D,i`naged,Pipe i2-- -7 r ="c' -) �- Transition : 2' 7--r2,_ --/-74 4" to 6" Transition: White Copy: Property Owner ��. .9tam Time r • p r Owner /Occupant Signature Non - Compliance 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 / Time 4, Street Name �( o am • • o pm Phone inspector Signature For information call 65 Obstruction Unable to push past feet Final Cleanout: No Access O No one in Entered S.L at Access to service lateral rKeded O Inspection ��� refused Pink Copy: SEH 'Number Correctly Discharged Notes Total Incorrectly Unknown Sump pumps Foundation drains Roof drains City of Fain Residential Sanitary Sewer Service Compliance Irnspection Date l / , Name 7, # pi [ ND Number House Number f (/2 1 Alternative Mailing Address Compliance O No foundation drain connection 0 Clear water connections to sanitary sewer O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings Number of stacks Rocs Poo ipej rots Fl, ' .J -----' �', " � °> Mine I eposits .i -�-`' -,�'- : " Sa /P Deflection / `` , � � -°,�' . / D,i`naged,Pipe i2-- -7 r ="c' -) �- Transition : 2' 7--r2,_ --/-74 4" to 6" Transition: White Copy: Property Owner ��. .9tam Time r • p r Owner /Occupant Signature Non - Compliance 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 / Time 4, Street Name �( o am • • o pm Phone inspector Signature For information call 65 Obstruction Unable to push past feet Final Cleanout: No Access O No one in Entered S.L at Access to service lateral rKeded O Inspection ��� refused Pink Copy: SEH