1368 Grace Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
)
V
di*
City olEapll
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name r' #
PID Number
House Number
Alternative MaiIin Address
1
4" to 6" Transition:
'77
(2 Street Name
Time
Ow4er/Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
0 am
•
.X Pm
Phone
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Obstruction
Unable to push past
feet
0 am
•
Time • o pm
Inspector Signature „,\.)/)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Final Cleanout:
Notes
• 1.46/
/
/77/T-,L
c--
Yellow Copy: City of Eagan Pink Copy: SEH