1461 Richards Ct - Inspection FormSump pumps
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Foundation drains
Roof drains
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City of ha R
Residential Sanitary Sewer Service
Compliance Inspection
Date )o / i 1 )71';
Name
PID Number
House Number ) / Street Name
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time
Owner /Occupant Signature
Service Lateral inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
Disk #
O
O
O
O
O
•�
0 am
• pm
1
Non - Compliance
Number of stacks
Length of Service:
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number Discharged
Total Correctly Incorrectly Unknown
n
Record Number.
Notes
ri Time
• o am
• O pm
%
Phone
Inspector Signature
1\1 f !11 1 \il vi / ;
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered Si_ at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH