4663 Beacon Hill Rd - Inspection FormSump pumps
4
j
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Foundation drains
1
Roof drains
„L,..—
Residential Sanitary Sewer Service
<=s City of Cap Compliance Inspection
Date /
Time e p
Name y '� j'�q / l ..�}
4" to 6" Transition:
Disk #
PID Number
House Number r Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
i i " sanitary sewer• Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Number Discharged
Total
Correctly
Incorrectly
Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
I , r
Record Number /
Time
O am
•
• O pm
y
Phone J
Obstruction
Unable to push past
feet
Entered S . at
inspector Signature
Length of Service: Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH