4789 Beacon Hill Rd - Inspection FormSump pumps
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Foundation drains
Roof drains
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4 11. City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
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Dated ^'1.. ' "i /
Name 4"`.. - •�
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
C( / Sump pump properly piped
'0 No sump pump
4" to 6" Transition:
White Copy: Proper Owner
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Time f• /d pm
Disk #
PID Number
House Number Street Name
Alternative Mailing Address
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Owner /Occupant Signature
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Service Lateral Inspection Findings Number of stacks
Total Correctly Incorrectly
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Length of Service:
Unknown
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Number Discharged
Record Number
Notes
Time
Phone:;°
• p am
• O pm
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Entered S.L. at
Roots
Poor Pipe Joints
Mineral Deposits_ _—
SaglPipe Deflection
Damaged Pipe
Transition
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Yellow Copy: City of Eagan Pink Copy: SE H