1469 Thomas Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of ha o
Residential Sanitary Sewer Service
Compliance Inspection
/I V
Name
PID Number
House Number / f; Street Name
Alternative Mailing Address
-7
Compliance
O No foundation drain connection
X 0, No. roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6'
White Copy: Property Owner
/ i Time
1//ls1,:yV Y Disk # T
OwnerlOccupant Signature
Total
• l'' am
• pm
Non -Cc npliance
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 Discharged
Correctly Incor'r' Unknown
Record Number
Time
)
Phone /,
u w�
Obstruction
Unable to push past
feet.
Inspector Signature i }i1
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:
Notes
{
• O am
• o pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/ ? �� 77, (:
Yellow Copy: City of Eagan Pink Copy: SEH
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