2088 Emerald Lane - Inspection FormSump pumps
Y
Foundation drains
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--°°`
Roof drains
--
•—°�"—"
City of E JIO.
Residential Sanitary Sewer Service
•
Compliance Inspection
Date ° /
Name— (..a
PID Number
House Number.
White Copy: Property Owner
Alternative Mailing Address
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
Street Name
Disk #
Owner /Occupant Sigri'atrrre
r 1 /
4" to 6" Transition: M , /i °
•
Time r) o am
f •' = O pm
Non - Compliance
O Clean 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 Incorr ectly Unknown
Record Number'
/ C7 ztram
Time ® o pm
///*
1
Obstruction
Unable to push past
feet
Notes
f3 Ph
inspector Signature
For information. call 65
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
E
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH