4815 Richard Lane - Inspection FormSump pumps
r r
r i /
Foundation drains
Roof drains
7
ty
46. City l' Cana
Y
Residential Sanitary Sewer Service
Compliance Inspection
Qate1 / Time • t�j pm
Name.
Disk #
PID Number
House Number
Alternative Mailing Address
4
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Pr °operty Owner
:s treet Name
l'
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:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number :1
it
1
Time
Obstruction
Unable to push past
feet
_
Phone v = �° a I ° ' °°°� -`�
inspector Signature i
)
For information call 65 1.470.2788
Service Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
Final Cleanout:
• O am
• — o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH