4620 Beacon Hill Rd - Inspection FormSump pumps
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r f 1
Foundation drains
Roof drains
Cit al Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
,67 c
House Number f . Street Name /
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O =lo sump pump
4" to 6" Transition:
White Copy: Property Owner
/ / J ). Time
.,gyp > t Disk #
OwnerlOccupont Signature
O am
• ci pm
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Notes
Phone
Time
Obstruction
Unable to push past
feet
Inspector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S,L,at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
• O am
• o Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH