4868 Knottingham Cir - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Cit of eta t,
Residential Sanitary Sewer Service
Compliance Inspection
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Date r r
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Name
Disk #
PID Number
House Number
Alternative Mailing Address
Transition
4" to 6" Transition:
�'•�... am
Time Jo_ O pm
White Copy: Proper ry Owner
QwnerIOccupant 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
-r s
, Street Name i
For information call 651 .470.2788
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
) sewer
(0 Flexible sump pump piping
Number of stacks
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe //),. - ar" , !.....�} �. •;,a' A 'y
Length of Service:
Number Discharged
Total Correctly Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
1' >r fI
Phone /='
Obstruction
Unable to push past
feet
Entered S L at
Notes
:7,
Time
• O am
• O pm
Inspector Signature 1 ,, {
Final Cleanout:
No Access
O No one in
' t f;
I lei
O Access to service
lateral needed
O Inspection
refused
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Pink Copy: SEH