670 Brentwood Lane - Inspection FormSump pumps
Foundation drains
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Roof drains
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City of lia a
Residential Sanitary Sewer Service
Compliance Inspection
Date C`'/ (2'9 / ✓
Name � D i sk#
PI Number
House Number 69 76
Compliance
O No foundation drain connection
j 9, „No roof drain connection
Sump pit not connected to
t sanitary sewer
O Sump pump properly piped
No sump pump
.0 1
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition' i ''' �•-
4” to 6" Transition:
Total
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Skial \ J
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Time •
Correctly
0
Street Name
Er am
0 pm
Alternative Mailing Address
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
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number °z. '"
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Time { • - ; -•' 0 pm
Phone x✓ ;�s
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OwnertOccupant Signature ( ' ,' inspector Signature
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For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks ( Entered S.L.at
`' 2 _r7 )
.
Notes
Final Cleanout:
. s
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
7
Pink Copy: SEH