811 Eagan Oaks Lane - Inspection Form
Residential Sanitary Sewer Service
City of (r Compliance Inspection
f
Qate1.__~%~1 _ Time pm Record Number _
Name g_, r r Disk # Time 7 _ 0 ~6 pm
PID Number _
House Number Street Name
Alternative Mailing Address _ Phone r
OwnerlOccupant Signature Inspector Signature
• information call 651.470.2788
Co pliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water connections to Unable to push past O No one in
No roof drain connection sanitary sewer, feet O Access to service
, 14 O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer, O Inspection
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 _ Entered S..L..at
Roots
PoorPipejoints _ - -
Mineral Deposits -
SaglPipe Deflection -
Damaged Pipe-_
Transition G - -
s
4" to 6"Transition: Length of Service:} Final Cleanoutl~ k,•~ i
Notes
Number •
Total Correctly Incorrectly Unknown
Sump pumps 2 /,Y\
Foundation drains
Roof drains
White Copy: Propeity Ovmer Yellow Copy: City of Pagan Pink Copy: SEH