1377 Camelback Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
11 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name 472/2 Disk #
PID Number
House Number 9 -
Street Name
7
Alternative Mailing Address
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
4" to 6" Transition:
)
White Copy: Property Owner
m
Time -O pm
Owner/Occupant Signature
Non
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
)
Record Number •
Phone
Obstruction
Unable to push past
feet
Entered S.L.at
Notes
0 am
•
Time • 0 prn
inS Signature v)
• •
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Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Pink Copy: SEH