4726 Beacon Hill Rd - Inspection FormSump pumps
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I
Foundation drains
Roof drains
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` City ai' Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date I
Name.
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/ J'C ..
3 / 1.,/x//°0 Disk #
PID Number
House Number - ." • Street ,Name
Alternative Mailing Address: ` 72
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
/ S? Sump pit not connected to
sanitary sewer
7 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
am
Time._ • t pm
s
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 of stacks
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Phone r r .w ` -a i
Time
••
• O pm
0 am
Inspector Signature ),„1„..27:-.,-?) : ,\ j)
For information call 65 t.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Notes
1 -
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
.-
r2
Pink Copy: SEH