4812 Shevlin Ct - Inspection FormSump pumps
e,✓i.•.
--W
j
f ,.
lr' y '
r
Foundation drains
Roof drains
m.
M of N,a i
Y o n
Residential Sanitary Sewer Service
Compliance Inspection
j
Date L 4 ; /
Name j
4" to 6 "Transition:
Compliance
O No foundation drain connection
No
roof- rain connection
Sump pit not connected to
/ 1
sanitary sewer
O Sump pump properly piped
O 'No sump pump
White Copy: Property Owner
} 3 Disk #
Service Lateral Inspection Findings
•„> t3 am
Time s. f • pm
0
PID Number
House Number : "s ± Street Name:
Alternative Mailing Address Phone
f a
Owner /Occupant Signature
MINIM
Non - Compliance
Clear water connections to
For information call 651.470.2788
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total
Correctly
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
F
Notes
Time
Obstruction
Unable to push past
feet
•
inspector Signature
Final Cleanout:
O am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
Pink Copy: SEH