3794 South Hills Ct - Inspection Form
Residential Sanitary Sewer Service.
City i Ir . -
Date 1 ~ Q, Time p pa, Record Number
i~i , a ms s' ✓r Diskit Time l o Pm
Name
0-
PID Number
House Number _ { Street Name 7 / a rv
3... i j
Alternative Mailing Address--T Phone _ l~ . f , r -r t
s _
-
Owner/Occupant Signature { Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
r
No foundation drain connection O Clear, water- connections to Unable to push past O No one in
1 No roof drain connection sanitar y 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
O Sump pump properly piped sewer refused
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number- of stacks _ Entered S.L.at
Roots
Poor Pipefoints_
Mineral Deposits _
Sag/Pipe Deflection _=i= - - .L')_
Damaged Pipe
q4 ~ 1 _
Transition 1:I~/,~ %
J ~7~ t l f~- _t,J! r
4" to 6"Transition: Length of Service: - l--Final Cleanout: G>; t
Notes f~}
Number Discharged
Total Correctly Incorrectly Unknown- r~ j 1
Sump pumps
1/ .
Foundation drains
f:
Roof drains'
White Copy: Property Owner- Yellow Copy: City of Eagan Pink Copy: SFH