4669 Stonecliffe Dr - Inspection FormSump pumps
Foundation drains
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a
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_ _____
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Roof drains
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4 to p
Residential Sanitary Sewer Service
Compliance Inspection
Date cZ / / 2
Name
i 4, /74 1.' ;4 it . i0 Disk #
PID Number
g4
House Number
Alternative
1
Compliance
0 No foundation drain connection
;k i
No roof drain connection
q Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
lA
Total
: J lm
Time , � °"! p a pm
Street Name
0
r
h
(
fling Address
r,
OwnerlOccupant Sign)ture
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 Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe_
Transition
Length of Service: r'`,
Number Discharged
Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
()
•
Time O •
Phone 7(e5.) J7' '7
Notes
r
"Inspector Signature
Obstruction
Unable to push past
feet
Dam
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ' "
0 ilr/4»
Pink Copy: SEH