685 Stonewood Rd - Inspection FormSump pumps
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...-..........._
Foundation drains
7,
Roof drains
,
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Eft 01 tapri
Residlential Sanitary Sewer Service
Compliance inspection
Date/ 1 TV I
Name 2M./7"2D
House Number
Alternativellailing Address
,t4,4,1 '-' 7
A 1 -zt
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
0..--No sump pump
4" to 6"Transition:
White Copy: Proper ty Owner
Total
Time f
Disk #
PO Number
Street Name
Owner/Occupant Signature
0
Ltd
For information call 651A70.2788
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
Service Lateral inspection Findings Number of stacks Entered SL at 57140K (la
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition L4k., / 0.5 I; („I , b 1 6
Corr ectly
Phone /
/
Inpector Signature
Length of Service: - Final Cleanout:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan.
Notes —
( 7:5
77
c
Time /
1
fr)
Obstruction
Unable to push past
feet
Record Number.
• 5:kern
• ' t) pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
c-v (
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)
_.,
Pink Copy: SEH