3494 Wolfberry Ct - Inspection FormSump pumps
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
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Date (h /� •i Oam
I J / ,� ;r Time
Name ; / .. 7 A; � ! # f : i Disk #
PID Number
House Number
Alternative Mailing,Address
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Street Name
Owner /Occupant Signature
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For information call 651.470.2788
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
4" to 6" Transition:
White Copy: Property Owner
Total
Non - Compliance
O
O
O
O
O
Correctly
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Number Discharged
Incorrectly 1 Unknown
Record Number 9 '"
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1 ;
Phone
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Inspector Signature
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Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks 1 Entered S.L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection ,� r c:. } j . j ` 4 :� + r i 1� A /
1 t'
Damaged Pipe
Transition
Notes
• ; O am
\ • := O
Time J R pm
Final Cleanout: /:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH