4824 Eriks Blvd - Inspection FormSump pumps
Foundation drains
Roof drains
' �'
4 11. City of Cra as
Residential Sanitary Sewer Service
Compliance Inspection
I -
Date I I / / j Time
Nam e��`� ,.� ' j ,` ')
�.
- �t�° •
Compliance
O No foundation drain connection
1
' O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
4" to 6" Transition:
White Copy: Property Owner
Total
Disk #
Owner /Occ`'uanf Signature
Service Lateral Inspection Findings
Correctly
•_ pm
1
Incorrectly
Unknown
PID Number
House Number -2- -''' Street Name: 1 r , '
Alternative Mailing Address Ph r /
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 Discharged
Record Number.
Time
Obstruction
Unable to push past
feet
Number of stacks Entered S.L at
Notes
•
•
O am
_ O pm
Inspector Signature
For information call 651.470.2788
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
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH