4392 Onyx Dr - Inspection FormSump pumps
/ f )
Foundation drains
Roof drains
%
City of l'a ftau
Residential Sanitary: Sewer Service
Compliance Inspection
Date tT /.
Name
PID Number
House Number Street Name
Alternative Mailing Address Phone -%
For information call 651:470:2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
( No sump pump
Service Lateral Inpe j ion Findings Number of stacks _ f Entered S L. at C
Roots
4" to 6 "Transition:
White Copy: Property Owner
am
/ ]f f Time pm
1 .. Disk # / /
f� f
Owner /Occupant Signature
Total Correctly
Non - Compliance
/ f' "�. z f� ; / j/
I 7
Length of Service:
Number, Discharged
Incorrectly Unknown
Record Number
Notes
Obstruction
Inspector Signature
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
n
Final Cleanout:
am
prn
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Poor PipeJoints
Mineral Deposits ---,, S g Pipe Deflection 2---J-- — /
Damaged Pipe
Transition -1-1 ) --*--7 �, — � ,.. ' -' ,, , _ f /
/1
Yellow Copy: City of Eagan Pink Copy: SEH