3725 Stonewood Ct - Inspection FormSump pumps
Foundation drains
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Roof drains
41111
City oily as
Residential Sanitary Sewer Service
Compliance inspection
Date 1 ^--' /! O
Name
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
e 3
No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
:
r
White Copy: Property Owner
Total
4(-0 am
Time b pm
Disk #
i, „ 2 2
mStreet Name
Owner /Occupant Signature
O
O
O
O
O
Non - Compliance
J
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
i t l
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Record Number
Notes
me /
am
• pm
Phone / 2.
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
For information call 651.470.2788
O Access to service
lateral needed
O Inspection
refused
Number of stacks ' Entered St at - 777* --/)
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i -. .. -, L— Final Cleanout: ` i
Yellow Copy: City of Eagan Pink Copy: SEH