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2062 Quartz Lane - Inspection FormSump pumps Foundation drains / L Roof drains City of Fa lan Residential Sanitary Sewer Service Compliance Inspection "r Name RD Number House Number Alternative Mailing Address Compliance No foundation drain connection No roof drain connection /i O Sump pit not connected to sanitary sewer O Sump pump properly piped J l No sump pump Mineral Deposits /Sag/Pipe Deflection 4" to 6" Transition: i/ White Copy: Property Owner Time I/ `• /7 7 2 -2 Street Name Disk # Owner /Occupant Signa ure Damaged Pipe I � E S Transition 1 --7 i t )/i . am pm Non - Compliance For information call 651.470.2788 O Clear water connections to Unable to push past sanitary sewer feet O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks `I Roots Poor Pipe Joints Number Discharged Total Cor rectly Incorrectly Unknown Record Number am 1 Time / its o pm Phone ` •. °_ !? ,� 1 Obstruction /J Entered S•L.a Length of Service: L 5 J -� Final Cleanout: Notes inspector Signature No Access O No one in O Access to service lateral needed O Inspection r efused Yellow Copy: City of Eagan Pink Copy: SEH