3461 Trails End Rd - Inspection Form' of •
Residential Sanitary Sewer Service
Compliance Inspection
Date -3 /)) /
Name
PID Number
House Number
Alternative Mailing Address
r 1 4 i'1{
( 1
For information call 651.470.2788
Compliance
O No foundation drain connection
S .
,e No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ e No sump pump
Service Lateral Inspection Findings
Transition . J
4" to 6" Transition:
White Copy: Property Owner
Time (
1 (2 s 4-, Disk #
• Street Name
Owner /Occupant Signature
Non — Compliance
O
O
O
O
O
f
• 6- o am
• pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 7
t iigall°oFServicer
Yellow Copy: City of Eagan
Record Number
.� ✓' O am
• r -
Time �. • , p pm
Phone
Entered S.L. at
inspector Signature
Obstruction
Unable to push past
feet
p ? I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout:
Pink Copy: SEH
Number Discharged
Notes
%, _. y
i r . .-- .-- , f , 1
rJ
' !._a'
Total
Correctly
Incorrectly
Unknown
Sump pumps
f
Foundation drains
f
Roof drains
' of •
Residential Sanitary Sewer Service
Compliance Inspection
Date -3 /)) /
Name
PID Number
House Number
Alternative Mailing Address
r 1 4 i'1{
( 1
For information call 651.470.2788
Compliance
O No foundation drain connection
S .
,e No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ e No sump pump
Service Lateral Inspection Findings
Transition . J
4" to 6" Transition:
White Copy: Property Owner
Time (
1 (2 s 4-, Disk #
• Street Name
Owner /Occupant Signature
Non — Compliance
O
O
O
O
O
f
• 6- o am
• pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 7
t iigall°oFServicer
Yellow Copy: City of Eagan
Record Number
.� ✓' O am
• r -
Time �. • , p pm
Phone
Entered S.L. at
inspector Signature
Obstruction
Unable to push past
feet
p ? I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout:
Pink Copy: SEH