1475 Thomas Lane - Inspection FormSump pumps
1
r
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Foundation drains
Roof drains
Name
PID Number
House Number
Roots
111 City tif Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date f/_L.
Alternativeylailing
7.3 Street Name
Address
.t/
ownerlOccupo
Whitetopy: Property Owner
///Disk #
Total
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
i 9 am
Time O pm
ignature
4" to 6" Transition:
Correctly
--E
vvi
)
For information call 651.470.2788
Non
O Clear water connections to
sanitary sewer
O Service lateral defects
0, Defective manholes
R Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection ),•
Damaged Pipe
Transition
Length of Service:
Incorrectly
Number Discharged
Yellow Copy: City of Eagan
Record Number
Notes
Time
Phone -
c7=
•
. •
?V
O Pm
O pm
Obstruction
Unable to push past
feet
inspector' Signature • ,) I
Entered S L at
Final Cleanout:
7:*
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Unkno
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Pink Copy: SEH