4643 Pinetree Curve - Inspection Form111 City of Epp
Residential Sanitary Sewer Service
Compliance Inspection
Date ! ! f 1
Name
House Number
Alternative Mailing Address
Compliance
; ® No foundation drain connection
No roof drain connection
�J
Sump pit not connected to
sanitary sewer
_+1 Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
Service Lateral Inspection Findings
White Copy: Property Owner
72 0 gam
Time 1f • iV pm
Disk #
PO Number
OwnerlOccupant Signature
MOM
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:
Record Number
Notes
• • f!
Time i 4 , •
- ice j " ▪ Street Name
Phone ./.--< , m 1
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
O
kiq pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at
Poor Pipe joints
,Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: ?
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
1 ,)
1111
.
Foundation drains
III
ill
Roof drains
111 City of Epp
Residential Sanitary Sewer Service
Compliance Inspection
Date ! ! f 1
Name
House Number
Alternative Mailing Address
Compliance
; ® No foundation drain connection
No roof drain connection
�J
Sump pit not connected to
sanitary sewer
_+1 Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
Service Lateral Inspection Findings
White Copy: Property Owner
72 0 gam
Time 1f • iV pm
Disk #
PO Number
OwnerlOccupant Signature
MOM
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:
Record Number
Notes
• • f!
Time i 4 , •
- ice j " ▪ Street Name
Phone ./.--< , m 1
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
O
kiq pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at
Poor Pipe joints
,Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: ?
Yellow Copy: City of Eagan Pink Copy: SEH