4858 Sheffield Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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411111 City !' �a a
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Residential Sanitary Sewer Service
Compliance Inspection
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Date 1/ /I.a! .._1
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House Number
Compliance
O No foundation drain connection
No roof drain connection
Gr Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
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Time
Name / .b / r °°� c Disk #
PID Number
Name
Owner/Occupant Signature
0
O
O
O
0
am
pm
aIM
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Alternative MailingAddr'ess Phone w� - ) : -
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
Time
Inspector Signature
Final Cleanout:
• O am
• 0 pm
I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH