1469 Richards Ct - Inspection FormCity of Pd go
Residential Sanitary Sewer Service
Compliance Inspection
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Date ? / ; 3 / � Time : � -a pm
"c--) r 3
Name_ i f'`8 : 1 • �` -'��i D
PID Number.
House Number
Alternative Mailing Address
• :
Street Name
Own erlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
i
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
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:
Yellow Copy: City of Eagan
Record Number
Time
n
Phone /
Inspe ctor Signature
i1
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
O
•
• O Pm
7
No Access
O No one in
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
L-4.6 - •J ,
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly Unknown
Notts
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Sump pumps
- ), _
'
Foundation drains
-
Roof drains
_
City of Pd go
Residential Sanitary Sewer Service
Compliance Inspection
} f; "} am
Date ? / ; 3 / � Time : � -a pm
"c--) r 3
Name_ i f'`8 : 1 • �` -'��i D
PID Number.
House Number
Alternative Mailing Address
• :
Street Name
Own erlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
i
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
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:
Yellow Copy: City of Eagan
Record Number
Time
n
Phone /
Inspe ctor Signature
i1
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
O
•
• O Pm
7
No Access
O No one in
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
L-4.6 - •J ,
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH