3788 South Hills Ct - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Cit. nf..i 1 1
Residential Sanitary Sewer Service
Compliance lnspecti ®n
Date r / ✓'7 / ) ? Time
Name s s/ fde - 'a Disk
PID Number
House Number -ate Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
k Q
No foundation drain connection
O' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Pr operty Owner
Owrier /Occupant Signature
„2,t/ p.m
Non - Compliance
O
O
O
O
O
o
L ifJ-[II9J
r.;
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks fi
Length of Service:
Total Correctly Incorrectly Unknown
6
Number Discharged
Record Number
` \ Phone
Entered S. L, at
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Notes
• T o am
Time t.� •
f
} 7/ `rP
7; f
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,,,inspector t ins Signature
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Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection -
Damaged Pipe • 3 j / /
, d� ' 2 i
'Transition Lf
i ;U �� ttt + ✓r - ir
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Final Cleanout: 7-
("2/ f 5 !
Yellow Copy: City of Eagan Pink Copy: SEH