3711 South Hills Lane - Inspection FormSump pumps
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A/
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Foundation drains
Roof drains
4 City off hp
Residential Sanitary Sewer Service
Compliance Inspection
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
7 () -7 j
Sag /Pipe Deflection .! . 4 1" . (,=::-----' •,... - a
Damaged Pipe
Transition / / ♦ j! . ry ,- ,r 7
I /
4" to 6" Transition: ( 7--- ) -,
White Copy: Property Owner
1 Street Name
Owner /Occupant Signature
21;1
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 of stacks >! Entered S . at -- a _...!
Length of Service:
Number Discharged
Record Number 7
ime
r
Inspector Signature
Obstruction
Unable to push past
feet
p ;am
pm
f
Phone r _ I "` - 1, `f ;) - ?
Final Cleanout: /
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
(
Notes
Total Correctly Incorrectly Unknown I
f
e. i K,7 - _ 9 f7 r"
Yellow Copy: City of Eagan Pink Copy: SEH
2 0
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