4786 Beacon Hill Rd - Inspection FormSu mp pumps
Foundation drains
Roof drains
City al`Ea p
Residential Sanitary Sewer Service
Compliance Inspection
Date )7 1 0 I
Name L Fi 12/.34—
Time
Disk # r-ri
P1D Number
l
Q am
0 pm
Record Number
n
Time
House Number =" r�7r� Street Name _ " /:�-r '✓ — 1 f I
Alternative Mailing Addr ess
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i' i .:._.::;��:. _.
• Transition
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
Total
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
Q i , Defective manholes
p Sump pump connected to sanitary
, sewer
Flexible sump pump piping
Number Discharged
Correctly Incorrectly Unknown
Phone
Inspector Sig t m
/4y7' ..;: y
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
Length of Service: a F�fnahC[eanout:
Notes
-(1
"
2, 1
• o am
• o Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
A