3789 South Hills Cir - Inspection Form
Residential Sanitary Sewer Service
City I Ir Compliance Inspection
7
Date_~ _I~ Ll f Time pm Record Number _
1~ J f^ 1 _'a~ f f f LIE Name i/iDisk# Time Q am
a1"-`
PID Number _
House Number Street Name
Alternative Mailing Address Phone
a
Ownerl0ccupant Signature f Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
it
D No foundation drain connection O Clear water connections to Unable to push past O No one in
! sanitary sewer feet,
O No roof drain connection 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
Service Lateral Inspection Findings Number of stacks _ I Entered S L at
~p -
Roots _ -
Poor- PipeJoints _
Mineral Deposits _
Sag/Pipe Deflection -
Damaged Pipe - -
Transition
4" to 6"Transition: Length of Service: N Final Cleanout:Fe
!!r ~.1
Notes
Number Discharged
Total Correctly Incorrectly Unknown r f
Sump pumps
Foundation drains '
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SFH