4716 Pebble Beach Way - Inspection Form
Residential A~ city Sewer Service
I Eapa Compliance Inspection
i p am
Date 011 Time 01(7 a PM Record Number-
Time } O am
I t ✓ 7p'pm
t '
Name a LJe ryr~`f i Disk if
PC
PID Number
House Number L l. Street Name
Alternative Mailing Address Phone
fog
° OwnerlOccup'ant Signature: Inspector Signature
For information call 651.470.2788 M.
Compliance Non-Compliance Obstruction No Access
No foundation ~drrainlconnection 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
Sump pit not connected to
fk sanitary sewer O Defective manholes
O Inspection
O Sump pump connected to sanitary
refused
O Sump pump properly piped sewer,
1No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection J ~f
Damaged Pipe
Transition q~l ~ rpl t,s5 i ?~-'Z-~i
r r
i
4" to 6" Transition: Length of Service:'-- Final Cleanout:
f
Motes
Number Discharged
Total Correctly IUnknown
Sump pumps <~x ! =
, 0
ref
Foundation drains
Roof drains
White Copy: Proper ty 0W11er Yellow Copy: City of Eagan Pink Copy: SEH