3733 South Hills Dr - Inspection FormSump pumps
Foundation drains
Roof drains
/
1111 City al Eagy
Residential Sanitary Sewer Service
Compliance inspection
)
Date
"r)
Name /
Poor PipeJoints
White Copy: Property Owner
Time
)
:17:7 Disk #
Own., t, Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
, sanitary sewer
el Sump pump properly piped
0 No sump pump
Service Lat_eral Inspection Findings
Roots - "'?
Mineral Deposits
—.2
'Sag/Pipe Deflection
)
4" to 6" Transition:
Total
1 /
Correctly
- 77 - ?
Oti am
• 04
pm
PID Number
House Number Street Name
Alternative Mailing Address
Damaged Pipe
Transition . /e:
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
Record Number
•
ime • - 0 aro
• Pm
Obstruction
Unable to push past
feet
Inspector Signature
For information call 651.470.2788
Number of stacks Entered S Lat _
Length of Service:
Number Discharged
Incorrectly
Unknown
Notes
Phone -
No Access
O No one in
Final Cleanout: '
GS4l)e
fd
Yellow Copy: City of Eagan Pink Copy: SEH
O Access to service
lateral needed
O Inspection
refused