4735 Beacon Hill Cir - Inspection FormSump pumps
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Foundation drains
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Roof drains
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` Cita of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date 0/
Name . r
4" to 6 "Transition:
/ k'
Disk #
MD Number
House Number °� -.,� ,; Street Name
Alte natyv- Mailing Address
•
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
1•
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Total
White Copy: Pr oper ty Owner
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Time • )
�•:�i/
% 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
Correctly
J
Length of Service:
Number Discharged
Incorrectly
Unknown
Record Number 1
Notes
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
:
• p am
• o pm
)_ 2. '
) 2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH