4677 Kingsbury Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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4" to 6"Transition:
4100P
City of EPP
Residential Sanitary Sewer Service
Compliance Inspection
Date it .11 / 1! 2
Name /
PID Number
?"7
House Number ' e -
Compliance
0 No foundation drain connection
No roof drain connection
9 Sump pit not connected to
sanitary sewer
,
CY Sump pump properly piped
/ 0 No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Owner/Occupant Signature
Total
Time prn
•
Disk #
Street Name
Correctly I ncorr ectly
-71
Alternative Mailing Address
Non-Compliante."
O Clear water corirr tions 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
Unknown
Yellow Copy: City of Eagan
Record Number
Notes
Time
.,--------',.
) .../
inspector Signature
)
0 am
•
• 0 pm
Phone '
, )
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
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