3774 South Hills Ct - Inspection FormSump pumps
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Foundation drains
Roof drains
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City a p
Residential Sanitary Sewer Service
Compliance Inspection
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Date / i 1
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Name
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PID Number
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House Number tr'eet Name
Alternative MailingAddress
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OwnerlCccupont Signature
For information call 651A70.2788
Compliance
O 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
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Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2
Length of Service: j--7 - Final Cleanout:
4" to 6" Transition:
White Copy: Property Owner
Time .
7/) /dv - 2-' t, Disk #
am
pm
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 ' Entered S.L at ,` • �— b��
Total
Number, Discharged
Correctly
Incorrectly
Unknown
Record Number
/ !2
ime
Obstruction
Unable to push past
feet
Notes
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am
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Phone
inspector Signature
No Access
O No one in
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O Access to service
lateral needed
O Inspection
r efused
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Yellow Copy: City of Fagan Pink Copy: SEH