830 Great Oaks Lane - Inspection Form
Residential
City of P Compliance Inspection.
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Date a l R w! I Time i 0 pm Record Number
am
NameDisk# j !7 Time O'pm
PID Number
House Number- Street Name
Alternative Mailing Address _ Phone
Ownerl0ccupant Signature /l Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
0 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
O Service lateral defects lateral needed
Q 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 Joints
Mineral Deposits
r , ;
Sag/Pipe Deflection-~~
Damaged Pipe
Transition
4" to 6"Transition: Length of Service: . Final Cleanout: '
a
Number Discharged Notes
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH