3717 South Hills Lane - Inspection FormSump pumps
Foundation drains
,
Roof drains
Oily of E . a
Residential ;Sanitary Sewer Service
Colrrmphiance Inspection
Date .!
Name ! l Disk #
PID Number
}
House Number Street Name
Alt er an Live Mailing Address f
,
OwneilOccupgnt Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
1�
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No roof drain connection
No sump pump
•
Service Lateral Inspection Findings
Transition 4W•
4" to 6" Tr ansition:
White Copy: Property Owner
Total
Time , • c
am
Pm
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
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 ` ""` `.
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
1
Record Number 1
� a»
lime r _f • prr
r
Phone )
Obstruction
-
Inspector Signature
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
final Cleanout: / !1 .
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