4847 Shevlin Ct - Inspection Form
DV I)
Residential Sanitary Sewer Service
My of p Compliance Inspection
777777.
.9 am
Date 1 1 t Time y • o pm Record Number
W am
Name 1~ t Disk# rf } Time f • O pm
•
PID Number
House Number Street Name
Alternative Mail- Address Phone
OwnerlOccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable,to push past O No one in
O. No roof drain connection sanitary sewer i feet O Access to service
O Service lateral defects
O Sump pit not connected to lateral needed
O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary O Sump pump properly piped sewer
refused sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition A,
4" to 6" Transition: Length of Service Final Cleanout:. a
Notes
Number •
Total Correctly Incorrectly Unknown l~r
Sump pumps
Foundation drains ;
Roof drains r- . r
k
White Copy: Property Owl-let Yellow Copy: City of Eagan Pink Copy An