3710 South Hills Dr - Inspection FormSump pumps
Foundation drains
' 4
('
Roof drains
4 city or Fa
Residential Sanitary Sewer Service
Compliance Inspection
'1. ) am
Date / : /) r_ Time • Pm
Name ° J / 'v) 2/ Disk #
PID Number
House Number 7 ) ( ) Street Name
Alternative MailingPddress
r )
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
s
No sump pump
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
Total
Owner /Occupant ignature
Service Lateral Inspection Findings
0
O
0
0
0
Damaged Pipe
t'
Transition 2
Correctly
j �� ! s 4
Phone t.,- 1— 7
For information call 651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number ofstacks
Length of Service:
Number. Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
Notes
Obstruction
Unable to push past
feet
Entered S.
Inspector Signature
am
14 Time q -�. • o Pm •
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
.4
t/
Final CIeanoute - ,
Pink Copy: SEH