4326 Amber Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of Eagan
Residential Sanitary Sewer Service
Compliance inspection
Date l I / /0
Name 717//7 / /%f% , 1241 .P(:'
PID Number
House Number
4Lr2
Alternative Mailing Address
'Owner /Occupant Signature
For information call 651.470.2788
Compliance
o foundation drain connection
�` No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1 0 No sump pump
Service Lateral Inspection Findings Number of stacks_ Entered S. L at
Roots 7- (-- 1.4 Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: /�, • e
Total
• o am
lime �/if p
Disk #
Street Name . :'j e
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
° - Length of Service:
White Copy: Property Owner
Record Number
( J J E Time 1
V' /Specter Signature
Obstruction
Unable to push past
feet
Final Cleanout:
Notes (if) :
o am
A6 pm
No Access
O No one in
Number. Discharged
Correctly Incorrectly Unknown �,0 LA-c4 1 c ; • . . _>
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Fagan Pink Copy: SEH