1470 Thomas Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of liapn
Residential Sanitary Sewer Service
Compliance Inspection
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Date 1/ L/ 7/ /7
Name
/O
) / ) ( 7 1 Disk #
PID Number
House Number ) ° �- f �J Street Name
Alternafie-MaitipgAddress
./ ;
4" to 6 "Transition:
Time
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Total
O
O
O
O
O
4.! am
• O pm
Non - Compliance
Number of stacks
Phone
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
White Copy: Property Owner
Record Number
Entered S,L.at
Notes
._.' C.
O am
•
Time • _O pm
)
insfctor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
It;
No Access
O No one in
n
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH