2044 Copper Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
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City of hak
Residential Sanitary Sewer Service
Compliance Inspection
Date 62 6 1 '27— e2
Name 1•-' ��/ f �` `7/
PID Number
• o - o am
Time � � f✓ pm
Disk #
0
Lid-LE
Record Number
1't • Q O, am
Time / • £ pm
r7
Street Name i .:
Alternative Mailing Address ==--.J !�.:' y'` '`� _ 2 Phon ! 5K
0/z/
House Number f
Owner/Occupant Signature
lnspect'or Signature
For information' call 65 '.
Compliance
No foundation drain connection
f No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service � nspect�onFindings Number of stacks Entered S L at
R
/
1
Poor Pipe joints
Mineral Deposits 2
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: ,f% 72 . j » Length of Service:
White Copy: Property Owner
Total
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
Number Discharged
Correctly Incorrectly Unknown
Obstruction
Unable to push past
feet.
2 l
Notes 4 (I 1
d E: /"S'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
%-91 Q6.✓'
Yellow Copy: City of Eagan Pink Copy: SEH