4632 Fairway Hills Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date �-
Name t Disk #
PID Number
House Number Street Name
Alternative Mailing Address
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For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
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Transition : =�
4" to 6 "Transition:
White Copy: Property Owner
a_g— O am
Time l • pm
OwnerlOccupant Signature
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Non - Compliance
Phone
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks 1 Entered S.L at
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
I 4, Dam
Time L • c9 pm
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Inspector Signature
Obstruction
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Final Cleanout: °
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Yellow Copy: City of Eagan Pink Copy: SEH