848 Great Oaks Tr - Inspection FormSump pumps
Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance inspection
Date (221 o} / fr1'
Name ; /114
) Disk #
PID Number
House Number
Alternative. Mai ling Address
O No sump pump
4" to 6" Transition:
O Sump pump properly piped
White Copy: Property Owner
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Time t %7 : Li ti o pm
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Street Name _ 1 2
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Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
10 /' Sump pit not connected to
sanitary sewer
Service Lateral Inspection Findings
Total
Correctly
For information call 651:470:2788
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
Number of stacks ( Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
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Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Time O 2
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R am
0 pm
Pli`4ne
7");:/Z. ' /L "
/ /I/
- ; inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
!rik: (.!O
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: c .'
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Pink Copy: SEH