3630 Elrene Rd - Inspection Form 1Sump pumps
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Foundation drains
Roof drains
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City of Calau
Residential Sanitary Sewer Service
Compliance Inspection
Date JV1 ( 1 f
Name Z- 17
PID Number
Time 1/
Disk #
✓� 0'3m
p pm
0
House Number Street Name ( > 14--''
Alternative Mailing Address
i
I /
Ownerl0ccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
a No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
l.C*3 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Trari itroh
/71 -t ?
4" to 6 "Transition:
White Copy: Property Owner
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
Number of stacks Entered S . at d/ / T7 '. ;721-o/ r
f r l � 1 j ?= ;
/
7 ' 72/7 '' ) }' '
1
Length of Service:
Number Discharged
Total
Cor rectl
Incorrectly
Unknown
0
Yellow Copy: City of Eagan
Record Number
am
0
Time / 5-- • ' A' Pm
7 1 i ce ,
Phone 7. 1 �-� ' ` 1 .� P r
i
"! Inspector Signature
Obstruction
Unable to push past
feet
/J? f
No Access
O No one in
rA
AtLr
Final Cleangut:
O Access to service
lateral needed
O Inspection
refused
Notes
4 �` ! . r� •_ / r_ r
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Pink Copy: SEH