4278 Amber Dr - Inspection FormSump pumps
Foundation drains
)
" "' "°
Roof drains
.._ --
Residential Sanitary Sewer Service
Compliance Inspection
Date(7A'! 2 /i
Name /2.4. 7 , eieef Disk#
PID Number
House Number
Alternative Mailing Address
OwnerlOccei$ant Signature
pliance
No foundation drain connection
/No roof drain connection
r
,O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral'. Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Time 1 ° .0-p
0
Total Correctly Incorrectly
/ i Street Name _ 1 1/
Phone �! </c<(' - . ": t/7
I J
1
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 of stacks
G'�4511.K, � / / �,, f � 7� ( Length of Service:
(i /
Number Discharged
Unknown
[I]
Record Number
O am
Time / C ® C pm
inspector Signature
/
For iinfornnation call 651.470.2788
Obstruction
Unable to push past
feet
/ Entered S..Lat - :%•?
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
eg
' 7 1/
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
/.
1
Notes ,,,
Yellow Copy: City of Eagan Pink Copy: SEH