1390 St Andrew Blvd - Inspection FormSump pumps
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Foundation drains
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Roof drains'
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4 hp!
Residential Sanitary Sewer Service
Compliance Inspection
Date e/ )l I
Name i ) /'/'i� )
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
4" to 6 " Transition:
White Copy: Property Owner
'• O Vam
Time i , • , '6 pm
Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Owne /OU ?o4ant Signature
1
Total Correctly
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
Record Number
"iii
Time
Entered S L at
Incorrectly Unknown
•
O am
O pm
r
Phone ,°� .
inspector Signature
For information call 651.410.2788
Obstruction
Unable to push past
feet
Final Cleanout:
7 / i f( 9/17/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
•
Yellow Copy: City of Eagan Pink Copy: SEH