4848 Richard Lane - Inspection FormSump pumps
7 -,
3
;r j 4 1
Foundation drains
Roof drains
; `
4. City of Ea ,a
Residential Sanitary Sewer Service
Compliance inspection
Date
L
4" to 6 "Transition:
Name i ) 'V".✓ ? Disk #
PID Number
( /
House Number _ i 1 Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
d 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
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Pr oper ty Owner
Owner/Occupant Signature
Total
( am
Time • 0'
LLJ-LTh
Number of stacks
Length of Service:
Non- Compliance
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
Incorrectly
Unknown
Record Number.
Obstruction
Unable to push past
feet.
Entered S L at
Notes
Time
Phone f - }_ -
;J
•
•
inspector Signature
Final Cleanout:
it
No Access
O No one in
0 a
o pm
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH