4308 Amber Dr - Inspection FormSump pumps
Foundation drains
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Roof drains
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• • • •
Ftesidential Sanitary 'Sewer Service
Compliance Inspection
Date
Transition
4" to 6" Tr ansition:
)
Co liance
/ No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
)1( No sump pump
•
White Copy: Pioperty Owner
am
Time Pm
Name / /
Disk #
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PID Number
,
House Number - . 11 --r -.4-1 Street Name
Alternative Mailing Address
ovz /
,
Owner/Occupant Sfgrature
For information call 651.470.'2788
Service Lateral inspection Findings
Roots
Non
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
Numbe f stacks
1
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Notes
,...20 yarn
Tim e,-' • /04 Pm
Phone
I ./
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copp City of Eagan Pink Copp SEH