2090 Copper Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City or Fa n
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1 Zd 1 /�
Name a Disk
( 27 ) .
PID Number
House Number Z 0.Y J Street Name
G _ r r
Alternative MailingAddress f d i • { -,� r,, j r'`
For information call .651.47O.2788
No sump pump
pIiance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pi
Transition 1 ( t/ 1� g
4" to 6" Transition:
White Copy: Property Owner
eal
/C7 • 0 p m
Time � O pm
Owner/Occupant Signature
- LLJ - 'J
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
Length of Service: ,
Total Correctly Incorrectly Unknown
Number Discharged
Record Number.
c
Obstruction
Unable to push past
feet
EnteredSLat 7s �,
if
Notes
!l
d • , ern
Time • Q pm
tone /
is
▪ Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH