4647 Pinetree Curve - Inspection FormSump pumps
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Foundation drains
Roof drains
My of Ea aii
Residential Sanitary Sewer Service
Compliance Inspection
Date IF tr t
Name
PID Number
House Number 24 1 1 / Street Name
Alterna':ive Mailing ' dress _✓ t
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
• -a /, % am
Time �� . pm
Disk #
OwrerlOccupant Signature
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
Record Number
r
Phone ,!:
Obstruction
Unable to push past
feet
Entered S.L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Total
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Notes
— ?
Time
f
Final Cleanout:
0 a
•
• 0 P
inspector Signature i ) j)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH