4255 Amber Ct - Inspection FormsSump pumps
L
Foundation drains
/1,
i i
Roof drains
• _s
City 1 JaQ,O
Residential Sanitary Sewer Service
Compliance Inspection
f4
Date 7 1 ` - --
17), 2-7 ""7')
Name
PID Number
House Number
Alternative ("failing Address
o pliance
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 Inspection Findings
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition . 2
4" to 6" Transition:
White Copy: Property Owner
•
Time 7
•
Disk #
Street Name
Owner/Occupant Signature
O
O
O
0
0
o am
i pm
Non - Compliance
Number. Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
e
am
pm
i
��
Phone 532-
2 )
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks I Entered S L at
Length of Service:
Notes
Inspector Signature
For information call 65
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service .
lateral needed
O Inspection
refused
r'
Roots
f 7)
- •
Final Cleanout: / 7
Yellow Copy: City of Eagan Pink Copy: SEH
Sump pumps
L
Foundation drains
/1,
i i
Roof drains
• _s
City 1 JaQ,O
Residential Sanitary Sewer Service
Compliance Inspection
f4
Date 7 1 ` - --
17), 2-7 ""7')
Name
PID Number
House Number
Alternative ("failing Address
o pliance
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 Inspection Findings
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition . 2
4" to 6" Transition:
White Copy: Property Owner
•
Time 7
•
Disk #
Street Name
Owner/Occupant Signature
O
O
O
0
0
o am
i pm
Non - Compliance
Number. Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
e
am
pm
i
��
Phone 532-
2 )
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks I Entered S L at
Length of Service:
Notes
Inspector Signature
For information call 65
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service .
lateral needed
O Inspection
refused
r'
Roots
f 7)
- •
Final Cleanout: / 7
Yellow Copy: City of Eagan Pink Copy: SEH