4730 Hazeltine Lane - Inspection FormCo mpliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
D Sump pump properly piped
C�,, No sump pump
For information call 651.470.2788
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet.
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks ? Entered S. L. at i f-. - -,� ..;_
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe `?
Transition , ' - . - 7 4- ... - - ; t ? �i c %' - �'
i r
4" to 6 " Transition: - Length of Service: ` - -f Final Cleanout: `-"' -r-
• r
Number
Correctly
Discharged
Incorrectly
- -
Unknown
Notes
Total
Sump pumps
�`�
" 1 �` , �. -
r y--
i
t '7
Foundation drains
i '
Roof drains
City of liaiao
Residential Sanitary Sewer Service
Compliance Inspection
Date °m L. 1 i
/ ` f,
Name }
r
PID Number
Alter natj ing Add
NWESIIEr
r �
White Copy: Property Owner
Disk #
•- .'" O am
Time ); • pm
Own r /Occupant Signature
'/
Yellow Copy: City of Eagan
Record Number
1
•
DTime /, •
Phone .
"76"?. O am
pm
Insp ector Signature
Pink Copy: SEH