4601 Beacon Hill Ct - Inspection FormSump pumps
Foundation drains
Roof drains
_
; -j
City of valet
Residential Sanitary Sewer Service
Compliance Inspection
Date / Jt- / 4 ''
Name /1_,./
PID Number
House Number - 7,` .-
Alternative Mailing Address
I li
0 No sump pump
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
4" to 6" Transition:
White Copy: Property Owner
>•=� -� qam
Time ! / • p in
/ .
j i
: _ i—LLJ—LIJ
Street Name
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
Number.` Discharged
Total Correctly Incorrectly Unknown
Record Number
Notes
Phonee
Time
•
•
inspector Signature
Obstruction
linable to push past
feet
Length of Service: Final Cleanout:
o am
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