4867 Richard Lane - Inspection FormSump pumps
/ 1 F
1 -
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Foundation drains
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Roof drains
4 Cit of Ca ail
Residential Sanitary Sewer Service
Compliance Inspection
Date_
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: ��1 1 �
Name r ? Disk tr rTi
PID Number
House Number 3 6 Street Name
Alternative Mailing Address
Compliance
0, 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: Proper Owner
67 ✓ • Qan:
Time • pm
Owner /Occupant Signature
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
Service Lateral Inspection Findings Number of stacks
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
bi
Time
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Notes
•
•
Inspector Signature
o am
A pm
�3 /
_ _. _ Cr? ��C_7
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH