836 Great Oaks Tr - Inspection Form
Residential Sanitary Sewer Service
City I Ir Compliance Inspection
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Date,--z 1 1 f Time • ~ a pm Record Number /
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Name Disk # ;~71 Time • O Pm
PID Number _
House Number 4 Street Name
Alternative Mailing Address Phone
Ownerl0ccupont 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 feet. O Access to service
O Service lateral defects lateral needed
O 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
Entered S L ate' i C
Service Lateral Ins pection Findings Number of stacks
Roots
Poor Pipejoin
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe -
t
a
Transition
Final Cleanout: /9
4" to b"Transition: Length of Service:
No es
Number Discharged
Total Correctly Incorrectly Unknown
~ a,I 1 F ~ ~ i r
Sump pumps yr ~T'~ G? ij j .J•
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH