4725 Pebble Beach Way - Inspection Form
Residential Sanitary Sewer Service
city of r1i Compliance Inspection
Dated Time 9 p pm Record Number _
Time p pm
Disk # F4
PID Number I
House Number Street Name
~tF y
Alternative Mailin Address Phone
TT- - - -
'OwpeF ccupont Signature Inspector Signature
/ TL~_
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
No roof drain connection sanitary sewer feet
O Access to service
/t y O Service lateral defects lateral needed
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 Entered S.L. at
Roots _
Poor, Pipe joints
Mineral Deposits _
Sag/Pipe Deflection
Damaged Pipe _
Transition
4" to 6"Transition: Length of Service: ---Final Cleanout:'
Notes
Discharged
Number /~r c }
Total Correctly Incorrectly Unknown
Sump pumps l 2 -
1
I
Foundation drains ~
Roof drains
White Copy: Property Chvner Yellow Copy: City of Eagan r Pink Copy: SEH