2081 Copper Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary. Sewer Service
Compliance Inspection
Date t74 1I r`!:' Time ;✓ :r
Name , N/V /2 K rAf r Disk #
PID Number
House Number ,
Alternative MailingAddress
Compliance
foundation drain connection
-No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
f r No sump pump
Sag /Pipe Deflection
Damaged Pipe ,
Transition '�' /� ":%Cf " r X
4" to 6" Transition:
White Copy: Pr operty Owner
OwnerlOcc pant Signature
Total
„„.0 am
'o pm
Correctly incorrectly
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
Length of Service: 7
Number Discharged
Record Number
0
Street Name fi %�' �.�✓
Unknown
• p?am
Time C.' o pm
'° ] �'
Phone��12. ( lr� �1
lnspe Signature
For information call 65 1.470:2788
Obstruction No Access
Unable to push past 0 No one in
feet
Service Lateral Inspection Findings Number of stacks ( Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Final Cleanout:
Notes
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH