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4843 Sheffield Lane - Inspection FormSump pumps /1 \ j Foundation drains Roof drains ` } ., _ City of Cd r Residential Sanitary Sewer Service Compliance Inspection Date )(4 Name te ' // it PID Number House Number y3 �' Compliance O No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer (Sump pump properly piped O No sump pump Service Lateral Inspection Findings 4" to 6 "Transition: White Copy: Property Owner 506 am Time)_s / O pm Disk # - f `Street Name Owner /Qccupont Signature Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer Number Discharged Total Correctly -LL�- O Flexible sump pump piping Number of stacks Length of Service: Notes ncorrectly Unknown 4j,/ Yellow Copy: City of Fagan Record Number ) Time Alternative Mailing Address Phone !� ! M is") ` -. 1 / f For information call 651.470.2788 Obstruction Unable to push past feet Final Cleanout: 0 am • _ O pm Inspector Signature I �rm , P }' Ptr O Inspection refused Entered S..L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 7 r �,F ti ° f"1 : ;11 No Access O No one in O Access to service lateral needed Pink Copy: SEH Residential Sanitary Sewer Service Compliance Inspection 7') f ( Date 1/ / 11 1 Time • 4 Name Disk # PD Number House Number Alternative Mailing Address 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 Service Lateral Inspection 4" to 6"Transition: White Copy: Property Owner Street Name OwnerlOccupant Signature Findings am Pm Mb. Number of stacks Length of Service: 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 Record Number ) //) 7 '.7 Phone N ot es Time Obstruction Unable to push past feet. Final Cleanout: • 0 am • 0 pm Inspector Signature For information call 651.470.2788 No Access No one 0 Access to service lateral needed 0 Inspection refused Entered SL at Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Yellow Copy: City of Eagan Pink Copy: SEH Number Discharged Total Correctly Incorrectly Unknown Sump pumps IIII IIII Foundation drains Roof drains 1111 Residential Sanitary Sewer Service Compliance Inspection 7') f ( Date 1/ / 11 1 Time • 4 Name Disk # PD Number House Number Alternative Mailing Address 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 Service Lateral Inspection 4" to 6"Transition: White Copy: Property Owner Street Name OwnerlOccupant Signature Findings am Pm Mb. Number of stacks Length of Service: 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 Record Number ) //) 7 '.7 Phone N ot es Time Obstruction Unable to push past feet. Final Cleanout: • 0 am • 0 pm Inspector Signature For information call 651.470.2788 No Access No one 0 Access to service lateral needed 0 Inspection refused Entered SL at Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Yellow Copy: City of Eagan Pink Copy: SEH