4254 Amber Dr - Inspection FormSump pumps
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Foundation drains°
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Roof drains
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Cita of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 /fir 1 /6-, Time / :t90
Name k , ,f7/ 2' f'/4/ Disk#
PID Number
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House Number 12�
Alternative Mailing Address
Cif
4" to 6" Transition: ',
White Copy: Property Owner
Street Name
Owner /Occupant Signature
mpliance
• No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
For information call 651.470.2788
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
Servi Lateral Inspection Findings Number of stacks
Roots s" f 1 '7"
Poor Pipe joints
Mineral Deposits /(t=om
Sag /Pipe Deflection
Damaged Pipe Par ,:: /. '
Transition
o am
C3-pm
01, 7 Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
E
Ph
. •
Time •
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at 1 /A0 /"
am
Pm
pe `v� f <23."(Y
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
27/1 C0 (.°
6) 6,699 46-1-c fiti
ArLr
Yellow Copy: City of Eagan pink Copy: UPI