Loading...
4762 Cypress Pt - Inspection FormSump pumps r / — , 4- t _ / :f '� =i /-`lt` 7 Foundation drains Roof drains am 1 f Ci1 or Fia n Residential Sanitary Sewer Service Compliance Inspection Date J / K - / /7 Name, PID Number House Number Alternative Mailing Address n r .P �.. m ar (1 Ls,f��C.�'1vJ �.. For information call 651.470.2788 Compliance O No foundation drain connection O No roof drain connection iJ Ct Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Service Lateral inspection Findings . Number of stacks Entered S. L at Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to 6" Transition: j f ry,, White Copy: Property Owner Time • 4 f it) Disk # Owner /Occupant Signature a Pm . F2 -.4 Street Name =w 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 Length of Service: Number Discharged Total Correctly Incorrectly Unknown Yellow Copy: City of Eagan Record Number — Obstruction Unable to push past feet Notes Time • • o am o pm Phone �2 Inspector Signature i � Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH