4610 Stonecliffe Dr - Inspection FormSump pumps
Foundation drains
7
Roof drains
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City of hp
Residential Sanitary Sewer Service
Compliance Inspection
/
Name S
/i ,
PID Number
House Number i , ,� " Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
0 No foundation drain connection
4 No roof drain connection
Sump pit noc connected to
sanitary sewer
C7 Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
cfiV
Mineral Deposits
`Sag /Pipe Deflection
Damaged Pipe
Transition p.
4" to 6" Transition:
White Copy: Property Owner
---- -- Ownerfaccap r Signature
rTh
Total
A
Time „/ pm
P
Disk #
Phone
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
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan;;
Record Number
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S. L at d
Time
Notes
$ z: • %0 ern
• v
Inspector Signature
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
it
i
Pink Copy: SEH