4646 Stonecliffe Dr - Inspection FormSump pumps
Foundation drains
Roof drains
,--,
,
V
/
City if Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
-
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
4" to 6" Transition:
White Copy: Propel ty Owner
77 • k C./ arn
Time • b
PM
Disk #
PID Number
House Number Street Name
-' 7 ,
Alternative Mailing Address Phone ---.
OwnerlOccupont Signature
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
/ id
Time
Obstruction
Unable to push past
feet.
Inspector Signature
,
Entered S L.at
Final Cleanout:
0 am
•
• Opm
Notes
, 4
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH