2037 Jade Lane - Inspection FormSump pumps
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,'�
Foundation drains
—)2
Roof drains
City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Dated
Name
9
No sump pump
PID Number
House Number L 1 ) 7 Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651 470.2788
Compliance
No foundation drain connection
p) No roof drain connection
i
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
Service Lateral Inspection Finding Number of stacks
Roots rte'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
Transition
4" to 6" Transition:
White Copy: Property Owner
1 •C0 am
Time A. • p p
Disk #
Non — Compliance
1
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
Number Discharged
Total Correctly incorrectly Unknown
Length of Service: i r— Final Cleanout: r'`•- r '-~—
1
Yellow Copy: City of Eagan
Record Number
3 am
Time / O pm
Phone e �°..,_`�
Obstruction
Entered 5, - L - at "GC
Notes
n
Inspector Signature
1
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH