4707 Beacon Hill Rd - Inspection FormCity of
Residential Sanitary Sewer Service
Compliance Inspection
(- 7
Date L®4 Y 1 ! i
Alternative MailingAddress
on pliance
No foundation drain connection
No roof drain connection
7 ® Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time )
Name r ! a , ., r J ? 4( Disk #
PID Number j - y
House Number '4 (.% / Street Name
OwnerlOccupant Signature
Yellow Copy: City of Eagan
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: d
Record Number
;
•
ime_ •
Phone s f "F1 j 1"
Inspector Signature
Obstruction
Unable to push past
feet.
3
p am
pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
Entered S.L at l refused
Service Lateral Inspection Findings Number of stacks Entered 1 C �
. ;
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
� f !
4" to 6 "Transition :� Final Cleanout:
Pink Copy: SEH
Notes
f ✓ , ( 4 , 4
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
J .6
�. .✓�.:
�,1.
_�rl j a ?
c/
`` �
Foundation drains
.l
._.. )
1
Roof drains
City of
Residential Sanitary Sewer Service
Compliance Inspection
(- 7
Date L®4 Y 1 ! i
Alternative MailingAddress
on pliance
No foundation drain connection
No roof drain connection
7 ® Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time )
Name r ! a , ., r J ? 4( Disk #
PID Number j - y
House Number '4 (.% / Street Name
OwnerlOccupant Signature
Yellow Copy: City of Eagan
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: d
Record Number
;
•
ime_ •
Phone s f "F1 j 1"
Inspector Signature
Obstruction
Unable to push past
feet.
3
p am
pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
Entered S.L at l refused
Service Lateral Inspection Findings Number of stacks Entered 1 C �
. ;
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
� f !
4" to 6 "Transition :� Final Cleanout:
Pink Copy: SEH