4266 Limestone Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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of FARAD
Residential Sanitary Sewer Service
Compliance Inspection
Date4-°' / 1 l i
Name �
r
PID Number
House Number %'f% Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 3) t'
4" to 6" Transition:
White Copy: Property Owner
i
1� i ' ` D #
Total
1 .1) o�am
Time >9 pm
Owner /Occupant Signature
Service Lateral InspectioAFindings
I =
Roots'
Correctly
For information call 651
Poor• Pipe Joints
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 1'
Length of Service:
Number Discharged .
Incorrectly Unknown
[l.
Record Number
9 • O am
ime 1 pm
Obstruction
Unable to push past
feet
Entered S L at
Phone G
Inspector Signature
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
y - I fi Cleanout:
Notes
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Yellow Copy: City of Eagan Pink Copy: SEH