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4640 Kingsbury Dr - Inspection FormCity of Ea as Y � Residential Sanitary Sewer Service Compliance Inspection f! !}. Date if' ..// (-"7 Name, House Number • ! Alternative Mailing Address Compliance O No foundation drain connection O No roof drain connection (=' Sump pit not connected to sanitary sewer di Sump pump properly piped O No sump pump 4" to 6" Transition: White Copy: Property Owner (2. 9 o am Time • pm Disk # PID Number i Street Name OwrierlOccupant Signature 1 sewer. LU - ELi 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 O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Yellow Copy: City of Eagan Record Number '� # Jr � Time i Phone f i Obstruction Unable to push past feet Oam • • O pm Final Cleanout: Inspector Signature A/„.„....7.-4 d � h 6 , 1" s No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH Total Notes _ .e.: -r 7 j ,% . i .,,; r - i j ; ? i ; f' : ) , , i �' ' - f. , ; / Number Discharged Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains / City of Ea as Y � Residential Sanitary Sewer Service Compliance Inspection f! !}. Date if' ..// (-"7 Name, House Number • ! Alternative Mailing Address Compliance O No foundation drain connection O No roof drain connection (=' Sump pit not connected to sanitary sewer di Sump pump properly piped O No sump pump 4" to 6" Transition: White Copy: Property Owner (2. 9 o am Time • pm Disk # PID Number i Street Name OwrierlOccupant Signature 1 sewer. LU - ELi 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 O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Service: Yellow Copy: City of Eagan Record Number '� # Jr � Time i Phone f i Obstruction Unable to push past feet Oam • • O pm Final Cleanout: Inspector Signature A/„.„....7.-4 d � h 6 , 1" s No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH