4605 Pilot Knob Rd - Inspection FormSump pumps
�,✓
Foundation drains
Roof drains
1
;'
0
411* City f Epp
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date �3
Name
4" to 6" Transition:
Compliance
01 No foundation drain connection
f No roof drain connection •
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
White Copy: Pr operty Owner
Time. " •
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
q am
(j pm
PID Number
i
House Number ? -rF - Street Name r /13'
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
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Alternative Mailing Address
rn,
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
• O am
• O pm
9 ✓
1
For information call 651.470.2788
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Entered S.L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
/
a _
Pink Copy: SEH
J!