4761 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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111 City of 1,d an
Residential Sanitary Sewer Service
Compliance Inspection
Date hill
Name
PID Number
House Number
Alternative Mailing Address
gam yy
Compliance
O No foundation drain connection
No roof drain connection
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O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
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Disk#
4" to 6" Transition:
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White Copy: Property Owner
am
Time • pm
Ownerlbccupont Signature
/ Street Name `^s
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
Notes
Phone �� r1 f )
Time
•
•
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 a
O pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks Entered S,L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SEH