4026 Diamond Pt - Inspection FormSump pumps
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Foundation drains
Roof drains
City of to n
Residential Sanitary Sewer Service
Compliance Inspection
Date,
Name" #.
PID Number
House Number
Alternative Mailing Address
f
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
)(9
White Copy: Property Owner
,/,`•
Time lc•
i
// Disk #
() Street Name
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
1�
" I
am
pm
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
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks 1
Roots
Poor Pipejoints
Mineral Deposits r]
:-'56J/Pipe Deflection )
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
1
Record Number
t
Notes
•
•
am
pm
Phone G /
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout J
O Access to service
lateral needed
O Inspection
refused
Entered SA_ at Z-. _,
Pink Copy: SEH