4754 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of I,a an
Residential Sanitary Sewer Service
Compliance Inspection
Date !,
Roots
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
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sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
•
Time
.,
2 Disk #
Name
PID Number
House Number
Alternative Mailing Address
Owner /Occupant Signature
Service Lateral Inspection Findings
Street Name
p
p pm
Phone
otal Correctly Incorrectly
/
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to
sewer
O Flexible sump pump piping
Number of stacks
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Unknown
White Copy: Pr operty Ownei
Record Number
Time
Obstruction
Unable to push past
feet
Notes
f
•
Inspector Signature
Final Cleanout:
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.
Yellow Copy: City of Eagan Pink Copy: SEH