801 Eagan Oaks Lane - Inpection Form
Residential Sanitary Sewer Service
I r I Compliance Inspection.
O am
Date / /6-1 Time Record Number• f
Name ' Disk# Time yPm
r q'am
PID Number
House Number- Street Name'
Alternative Mailing Address Phone _21
f `
Owner/Occupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
Q No foundation drain connection O Clear- water- connections to Unable to push past O No one in
sanitary sewer feet
6,: No roof drain connection O Access to service
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
r O Sump pump connected to sanitary refused
Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks i -Entered S L at~
Roots
Poor-Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
~ Length of Service: Final Cleanout: /f,,1
4" to 6"Transition:
Aj /A
Notes
rr.,rf ;i7 v3
Number Discharged
Total Correctly Incorrectly Unknownii r
Sump pumps
I 1
S }
Foundation drains
~.a
Roof drains f' ~A~--
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH