4765 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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_"_
City of Fagan
Residential Sanitary Sewer Service
Compliance Inspection
Date= ? ?l .A.EI
Name Jl/ t, Disk #
P1D Number
House Number Z/ 7/5
(ID 2 c
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Q Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Owner/Occupant Signature
• y m
Time f p
o pm
0
3.
0
Record Number
Time
Street Name 7 ;?5 ' e)
Non - Compliance
O Clear water connections to
/ sanitary sewer
Service lateral defects J
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number Discharged
Total Correctl
c ;e cr.
Length of Service:
Incorrectly
Unknown
Yellow Copy: City of Eagan
4 01'
•
am
O pm
Phone 7 k<-- A
r` M .- O-
/%
Inspector Signature
For information 51.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks _ d Entered 5.L atiC'
Roots
Poor Pipe Joint
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe �`; k I Al 191 r z a L 1
Transition C.. f r... 4 44-)
No Access
O No one in
Final Cleanout: (1/
O Access to service
lateral needed
O Inspection
refused
Notes — � � L /c ,.0
Pink Copy: SEH