4704 Fairway Hills Dr - Inspection Form111 City of to a
Residential Sanitary Sewer Service
Compliance Inspection
Date
_i,.o
Name .
/.f , Disk #
PID Number –
House Number / ! ~:' 1)— Street Name
✓, s Q am
Time i • pm
Alternative Mail i €ngAddr•ess
0A"eirlOccupant Signature
Record Number
f • •pm
�.r
Phone
Inspector Signature
For information call 651.470.2788
Compliance
/ No foundation drain connection
No roof drain connection
i q Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ) ^'
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S at , 3 - 1 °= :✓ j
Roots
Poor Pipe Joints
Mineral Deposits
-J4 -Final Cleanout:�_,
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
Foundation drains
--
• '
�, ,,
Roof drains
111 City of to a
Residential Sanitary Sewer Service
Compliance Inspection
Date
_i,.o
Name .
/.f , Disk #
PID Number –
House Number / ! ~:' 1)— Street Name
✓, s Q am
Time i • pm
Alternative Mail i €ngAddr•ess
0A"eirlOccupant Signature
Record Number
f • •pm
�.r
Phone
Inspector Signature
For information call 651.470.2788
Compliance
/ No foundation drain connection
No roof drain connection
i q Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ) ^'
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S at , 3 - 1 °= :✓ j
Roots
Poor Pipe Joints
Mineral Deposits
-J4 -Final Cleanout:�_,
Pink Copy: SEH