1315 St Andrew Blvd - Inspection FormSump pumps
i
Foundation drains
Roof drains
City of lapa
Residential Sanitary Sewer Service
Compliance Inspection
Date ) 2 7 - 1 ��
Name /
PD Number
House Number
Alternative MailingAddress
" '` Owner /Occupant Signature
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
4" to 6" Transition:
White Copy: Property Owner
•�� O am
Time • < pm
F,
Disk #
a Street Name
Service Lateral Inspection Findings
Total Correctly
-m
Length of Service:
Incorrectly
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
Number Discharged
Unknown
Record Number
I )-7.11).--1;(1,-------2 fad l
Time
Obstruction
Unable to push past
feet
Entered S L.at
Notes
- .- � e
4-
}
•
l
Phone
inspector Signature j ✓725 _, I
For information call 651.470.2788
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cfeanout:
" . W
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH