4714 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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4111116. City of Ea are
Residential Sanitary Sewer Service
Compliance Inspection
Date / ! /
Name s /,' --
Compliance
r,
Time
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
Disk #
i
Owner /Occupw t Signature
No foundation drain connection
Service Lateral Inspection Findings
•tJ dam
• 'pm
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
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
ime
PID Number
House Number )"T Street Name . . () )
Alternative Mailing Address Phone e< ) °. 0
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks
Entered S Lat
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition -r
J
1
/ / Final Cleanout: /
Notes
i
2--
0 am
No Access
O No one in
O Access to service
lateral needed
p
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SE