4656 Fairway Hills Dr - Inspection Form
Residential Sanitary Sewer Service
City ! p Compliance Inspection
Date III r~ Times p pm Record Number,
1
Name{.~=-~ T {3Disk # Time i ~^C i f0+ Pm
PID Number /
House Number l Street Name
Alternative Mailing Address Phone
OwnerlOccupant Signature Inspector Signature
For info rMation '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
No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
X Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped refused
sewer
O No sump pump O Flexible sump pump piping
service Lateral Inspection Findings Number of stacks- 1 ' ' r
Entered 5 L. at
Roots
Poor Pipe Joints
Miner~l-Deposits
Sag/lMrpe.Defleetion
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: ! Final Cleanout:i
Notes
Number Discharged
Total Correctly Incorrectly Unknown '57)9 lev 4`_1 1~1
Sump pumps f j T `t-' ~`'~a°
1 f
Foundation drains
i,
Roof drains
White Copy: Pioperty Owner Yellow Copy: City of Eagan ~ Pink Copy: SEH