4773 London Lane - Inspection FormSump pumps
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: :
Foundation drains
Roof drains
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Al- •
City of Fa au
Residential Sanitary Sewer Service
Compliance Inspection
Date / .. ` /
Name r , =.° A'1t,r`..:
PID Number
House Number 'L ; :' `Z '`Street Name
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time ". •
Disk #
✓` Owierlbcupant Signature
o am
d pm
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
Total Correctly Incorrectly Unknown
Record Number
Phone
Obstruction
Unable to push past
feet
Notes
Time
•
•
Inspector Signature
For information call 651.470.2788
Length of Service: Final Cleanout:
o em
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SET-I