4755 Beacon Hill Rd - Inspection FormSump pumps
Foundation drains
Roof drains
i t
City Epp
Y a�
Residential Sanitary Sewer Service
Compliance Inspection
Date f( 11
Name
PO Number
House Number Street Name
Alternative Mailing Address
Compliance
0 No foundation drain connection
No roof drain connection
!y
c] Sump pit not connected to
•
sanitary sewer
P Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6 Transition:
White Copy: Property Owner
Total
T 6` yam
r o pm
O wnerlOccupant Signature
Correctly
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
Incorrectly
Unknown.
Record Number
Notes
Time
Entered S L.at
Obstruction
Unable to push past
feet
•
Phone r
0 a
O pm
Inspector Signature
fi r' -- ~
LL
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH