4675 Beacon Hill Rd - Inspection FormSump pumps
Foundation drains
,
Roof drains
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City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Dated ) : !
Name
PID Number
„ —
House Number 7 Street Name
r(ative Milling Address Phone ° ; .
Alte
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Owner /OccupanteSig ure
For information call 651.470.2788
Compliance
O No foundation drain connection
34 No roof drain connection
r
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks % Entered S.L,at
Roots
PoorPipeJoints =rE )j ,fr.;> :f.
J 1
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
).�''_�� Disk #
am
Time , • 'O pm
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
O
O
" 77/ d
Length of Service: rr
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number 1
Time
i
i
i
Notes.
inspector Signature
Obstruction
Unable to push past
feet
r!�
T 1,! "
Final Cleanout:. -,c'. r,f J, '
•
am
• O pm
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Pink Copy SEH