4883 Knottingham Cir - Inspection Form4 tit tity of Fa u
Residential Sanitary Sewer Service
Compliance Inspection
Date Of )r. / Jrr�
Name �r"l i j(/. t "fly Disk #
PID Number
House Number
Mineral Deposits
Sag /Pipe Deflection, "
Owner /Occupant Signature
Compliance
O No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
� .0C�
Time � gypm
Street Name
Non - Compliance
0
O
0
O
O
0
r
(;
Service Lateral inspection Findings Number of stacks
Roots
Poor Pipe Joints
Damaged Pipe.
Transition
l _
Length of Service:
0
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
Yellow Copy: City of Eagan
Record Number
l
Time / • / I
o am
Phone /) 7, -- — 0,2?
r' d
A ,1 %1 A3,
. inspector Signature
For information call 651.47 0.2788
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S at (1)
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: // .••
1 r '
Notes
e> t � jr ' .r A.
Pink Copy: SEH
Number
Correctly
✓ >; :f
Discharged
Incorrectly
'`f. ` r ` ., . 7
Unknown
1.
Total
MEI
IIJ
Sump pumps
Foundation drains
Roof drains
�w
4 tit tity of Fa u
Residential Sanitary Sewer Service
Compliance Inspection
Date Of )r. / Jrr�
Name �r"l i j(/. t "fly Disk #
PID Number
House Number
Mineral Deposits
Sag /Pipe Deflection, "
Owner /Occupant Signature
Compliance
O No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
� .0C�
Time � gypm
Street Name
Non - Compliance
0
O
0
O
O
0
r
(;
Service Lateral inspection Findings Number of stacks
Roots
Poor Pipe Joints
Damaged Pipe.
Transition
l _
Length of Service:
0
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
Yellow Copy: City of Eagan
Record Number
l
Time / • / I
o am
Phone /) 7, -- — 0,2?
r' d
A ,1 %1 A3,
. inspector Signature
For information call 651.47 0.2788
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S at (1)
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: // .••
1 r '
Notes
e> t � jr ' .r A.
Pink Copy: SEH