1353 Interlachen Dr - Inspection FormCity of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date / /
Name ei ("7, 0
PID Number
House Number
Alter native Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
• /
White Copy: Property Owner
Time
Disk #
Street Name
Cri"neifriccupant Signature
Service Lateral Inspection Findings
•
Roots
• 0 aM
• — pm
(74
Number of stacks
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
Record Number
/1 2
Phone
Time
Obstruction
Unable to push past
feet
Entered S L.at
Length of Service: 1(
0 am
•
pm
inspector Signature
For information call 651.470.2188
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
r
Transition
Final Cleanout:
: "PI
Notes
/1) '''f(-)() LA,/17/
- 79
g
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
I
' -:'
t
- -
. 1 7 _.,„.%
/
Foundation drains
drains
'
1,
MI Roof
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date / /
Name ei ("7, 0
PID Number
House Number
Alter native Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
• /
White Copy: Property Owner
Time
Disk #
Street Name
Cri"neifriccupant Signature
Service Lateral Inspection Findings
•
Roots
• 0 aM
• — pm
(74
Number of stacks
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
Record Number
/1 2
Phone
Time
Obstruction
Unable to push past
feet
Entered S L.at
Length of Service: 1(
0 am
•
pm
inspector Signature
For information call 651.470.2188
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
r
Transition
Final Cleanout:
: "PI
Notes
/1) '''f(-)() LA,/17/
- 79
g
Yellow Copy: City of Eagan Pink Copy: SEH