4639 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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.1,11 City of Fa an
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Residential Sanitary Sewer Service
Compliance Inspection
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Date f I 1 Af
PID Number
Time f4
Name ' f ` Disk #
House Number P / Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
s/
Owner /Occufant ignature
Service Lateral Inspection Findings
am
pm
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
,C1
Record Number
Time
l
Entered S.L at
'Phone
Notes
Obstruction
Unable to push past
feet
Inspector Signature
For information call 651.470.2788
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
/ f f
ti J 7 [
L /2-4~ �:
O am
•
• Opm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH