4293 Jasper Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date7ll"___,;__ Time
Name
�� l / !Disk #
HD Number
House Number
Alternative Mailing Address
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O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 " Transition:
White Copy: Pr operty Owner
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, ' Street Name !� r__� i.- /__. /I
Phone
Owner /Occupant Signature
For information call 651:470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Total
•„ am
• pm
[ h1
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral In‘ Findings Number of stacks .f Entered S,L.at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition Of '
I
Number, Discharged
Correctly Incorrectly Unknown
Record Number.
Time
Inspector Signature
Obstruction
Unable to push past
feet
Notes
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•
•
Length of Service: Cleanout:
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH