4236 Amber Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
` City of an
Residential Sanitary Sewer Service
Compliance Inspection
Date.2/ 1
Name
PID Number
House Number
1
1i
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time �( • O Am
Disk ##
�✓ „- Street Name
Alternative MailingAddress
Compliance
No foundation drain connection
1.
No roof drain connection
t 1 J -
Ownerlbccupant Signature
Service Lateral ins fiction Findi g
d
Number of stacks
Length of Service:
Total Correctly Incorrectly Unknown
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 r
Number Discharged
Record Number
Phone
L -x
•
}/)
-r'
Inspector Signature
1 • j •
am
Pm
1
For information call 651.47
Obstruction No Access
Unable to push past 0 No one in
feet
Notes
reS -LaIE
X11
L�
{
O Access to service
lateral needed
O Inspection
refused
1
Ent
Roots f. T)
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
i
i , final Cleanout: I
Yellow Copy: City of Eagan Pink Copy: SEH