3729 South Hills Way - Inspection FormSump pumps
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Foundation drains
Roof drains
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Cif of Ea a
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Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
House Number
Alternative Mailing Address
4" to b" Transition: r'
Compliance
O No foundation drain connection
v
4 • No roof drain connection
Sump pit not connected to
f sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
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Time f � s Q pm
Disk #
PID Number
° Street Name
stmt-
OwnerlOccupant Signature
0
0
Total Correctly
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For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks s,
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe �r
Transition : It I� " � . '. ?.
1
Length of Service:
Number Discharged
ncorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Phone
fit
I ,
Obstruction
Unable to push past
feet
Entered S.L.at
O;am
'Time.�� • ®t pm
Notes
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1,1
inspector Signature
_ Final Cleanout: ;
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
3 tr j(S
✓`s
Pink Copy: SEH
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
For information cal 65
No / Access
No one in
\
O Access to service
lateral needed
0 Inspection
refused
Non - Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks _ Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Number
Correctly
Discharged
incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
Roof drains
City of Eay.a
Residential Sanitary Sewer Service
Compliance Inspection
Date / / 7- / )(1:?
Name / / , Name
Number
House Number
A � f
Alternative Mailing Address
White Copy: Property Owner
• ,--, am
-
Time j b pm
Disk # _ —LL
Street Name
OwnerlOccupont Signature
Yellow Copy: City of Eagan
Record Number
Time
- , ; , 2
Phone :� .; . /,: `� i ,"--j l
Inspector Signature
'O am
•
,O pm
Pink Copy: SEH