916 Wild Rose Ct - Inspection FormSump pumps
Foundation drains
i9
Roof drains
„City at Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
Date / / ){ 3 Time
f J!�'C :y
Name M
PID Number
House Number. 1 Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
l No foundation drain connection
No roof drain connection
� )
Sump pit not connected to
sanitary sewer
Ai Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
r' )
/ /Pipe Deflection kTh —
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Disk #
Owper10ccupant Signature
i
1 .)
Length of Ser vice:
Number Discharged
Total Correctly Incorrectly Unknown
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
Record Number
Notes
jTime
Phone
o
r
Inspector Signature
Obstruction
Unable to push past
feet
1 /1
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Number of stacks Entered S L at . -°
Final Cleanout:, ( ----) •
Yellow Copy: City of Eagan Pink Copy: SEH
5