4690 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Transition
Name 1 1 ' ;
PID Number
House Number "" , Name
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
"''•7
Time. - 7)
t3
1 Disk #
Owner /Occupant Signature
Compliance
O No foundation drain connection
( No roof drain connection
1
ell' Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
O No sump pump
Total
Service Lateral Inspection Findings
am
pm
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Record Number
Obstruction
Unable to push past
feet.
Notes
<_
Time
f
-
•
•
Phone /5-, M .j , - " "k 1 - '. /4",
qq
Inspector Signature
Final Cleanout:
O am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S at
)
•
Yellow Copy: City of Eagan Pink Copy: SEH