2146 Sapphire Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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4111- city of a a
Residential Sanitary Sewer Service
Compliance Inspection
Date r'22.5 1 267
Name /0:6�``� Pre Disk #
PID Number
House Number
Compliance
YNo foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
• m
Time /6" •,G' O pm
Street Name
Alternative Mailing Address
3
OwnerlOccupant Signature
For information call 651.470.2788
Non - Compliance
O
0
O
0
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor. Pipe joints
Mineral Deposits 6
Sag /Pipe Deflection
Damaged Pipe
Transition
/5/3 0--) 9 _,_ Length of Service:
P /4/
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
rte, &T.) 0 • am
Time • `O prri
Phone
° ).7 - 6027P
spec Signature
Obstruction
Unable to push past
feet
Entered S L at
75/". 7f aI e.
��- Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i fF X //'/-6!-
Notes 4p /) [ e
Pink Copy: SEH