3760 South Hills Dr - Inspection FormsSump pumps
Foundation drains
7
Roof drains
Li
t �f
City af Cd n
Residential Sanitary Sewer Service
Compliance Inspection
Date 14-/ ( 17
Name .A1 . (./
o . pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
X No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Propel ty Ownet
Total
072 am
Time ' pm
Disk #
l..
PID Number
House Number d, 3 7/ :AStreet Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Non - Compliance
O
O
O
O
O
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition Li / /? - ° 1 y
Roots
Correctly
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks I Entered S L at
Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number �✓
F
'i
Time
• � o am
•
.6 ) - L4-7
Ins. ector Signature
Obstruction
Unable to push past
feet
f
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/
Final Cleanout: ,,f
Pink Copy: SEH
Compliance
0 No foundation drain connection
0 No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
0 No sump pump
For information call 651.470.2788
No Access
0 No one in
Access to service
' ' lateral needed
0 Inspection
refused
Non-Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Number
Correctly
Discharged
Incorrectly Unknown
Notes
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T otal
Sump pumps
Foundation drains
Roof drains
City of Eva
Residential Sanitary Sewer Service
Compliance Inspection
Date,,
Name //IA
House Number
id
, _AD am
Time • Opm
Disk #
PID Number
Street Name
Alternative Mailing Address
.,--r /„ /,`. ,
,
White Copy: Property Owner
Owner/Occupont'Signature
)
Yellow Copy: City of Eagan
Record Number
Time
0 am
•
• 0 pm
) 0:7).
Phone /
1
Inspector Signature
Pink Copy: SEH