4842 Sheffield Lane - Inspection FormS pumps
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Foundation drains
Roof drains
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41 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date) (7/ ' ")‘ IL}
Name � � � / ''/ :- ' / / i # F
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Time �� pm
PID Number
House Number . Street Name
Owner /Occupant Signature
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Alternative MailingAddress
For information call 651.470.2788
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
Service Lateral Inspection Findings
Roots
Poor
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
Total
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:
Number Discharged
Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
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Phone C z .. J
Entered S L at
Notes
Time
Inspector Signature y \ ) 1 1 v)
Obstruction
Unable to push past
feet
/ /
?
Final Cleanout:
• o am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH