4319 Amber Dr - Inspection FormSump pumps
Foundation drains
v
Roof drains
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4111111.
of Lalan
Residential Sanitary Sewer Service
Compliance Inspection
Dat
Name
PID Number
House Number K-- Street Name
Alternative Mailing Address
7).
4" to 6"Transition:
White Copy: Propel ty Owner
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Ownef Signoture
-
7' • puli am
Time
o pm
Disk #
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
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
<. )7 1 4 L,4 p
Phone
Jnspector Signature
For information call 651
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings/ Number of stacks 1 Entered S L at
, 7 f '77' / j f ---- ,
Roots 1 .,/,?, ,, , --.), ----) , t '
,
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe i
i ./
Transition 1-4- ) ir,/ / , t ir".-7
_... .. -- ,
r
, am
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
0 pm
)
Final Cleanout: '
Notes
13 ,
1 1
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Pink Copy: SEH
3