800 Great Oaks Lane - Inspection FormSump pumps
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Foundation drains
X
Roof drains � 9
4S.
rCity Elf kip
Residential Sanitary Sewer Service
Compliance inspection
Date / /
Name t' � l •
PID Number
House Number
Alternative Mailing Address
For information call 65
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Owner /Occupant Signature
Service Later al Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .-- ,,
4" to 6" Transition:
White Copy: Property Owner
Total
• I D am
Time . ID
Disk #
Street Name
Correctly
Incorrectly
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
Number of stacks Entered S.L at
Length of Service:
Number Discharged
Unknown
r°°--
Record Number
ime
Phone
Inspector Signature
Obstruction
Unable to push past
feet
)
�inal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Notes
e7
Yellow Copy: City of Eagan Pink Copy: SEH