4824 Shevlin Ct - Inspection FormSump pumps
F
Foundation drains
Roof drains
1
`;
City
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ( } / Ian• 1 .`
Name t t awrF ?F;�n
PID Number
House Number
r -
-• �� on,
Time , • ' O pm
Disk #
Street Name
\ Signature
Compliance
0 No foundation drain connection
No roof drain connection
Q Sump pit not connected to
sanitary sewer
,¢ Sump pump properly piped
/
0 No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
-L
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
Record Number
Notes
Time
r*
Alternative Mailing Phone °` ::
\ � Y
lnspecto (Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• oam
• O pm
For information call 651.470.2788
No Access
O No one in
Q inspection
refused
O Access to service
lateral needed
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SEH