812 Great Oaks Trail - Inspection Form
Residential Sanitary Sewer Service.
Fr Compliance Inspection
0. am
1 f 1 ° Record Number
pm
Time
Date
_ pm
Name , f~l/a M 3tJ Disk # h J f Time -In,
PID Number
House Number r Street Name f « s__" f= - r ,J% ~ 1
Alternative Mailing Address _ - - Phone l-aa a - `
OwnerlOccupant Signature Inspector Signature
information For call 651.470.2788
Compliance 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
1~5
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
O 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 - - -
Poor Pipe)oints - -
Mineral Deposits
Sag/Pipe Deflection _
Damaged Pipe - - -
Transition -
4" to 6" Transition: Length of Service: Final Cleanout: w-
c',;
Notes
Nurnber Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains 1' l L t t.
r Pink Co SEH
White Copy: Property Owner Yellow Copy: City of Eagan p3