4631 Pinetree Curve - Inspection FormCity fir 1,a as
Residential Sanitary Sewer Service
Compliance Inspection
Date °V1 2/ / C
Name 1', ✓A
PID Number
House Number /
Alternative MailingAddress
Compliance
0 No foundation drain connection
) YNo roof drain connection
t Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6" Transition:
ner /Occupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Property Owner
Time ( / • VC O pm
Disk #
0
2
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
Number of stacks
Length of Service:/
Yellow Copy: City of Eagan
t
Record Number 1 S T_
Street Name / % 1f� `tr- f/ '
Phone
Time 0 ! + /r 0 m
- 72(7 ,/
:/
p
j Ffnspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Obstruction
Unable to push past
feet.
Entered 5 L at fliP 2 r0
C ct
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
/
Transition A/C-
1 d r+
S - Final Cleanout: r ,
Pink Copy: SEH
Total
Notes � . 4'-' 3 � rz, �. ,,,t
1 7 - "C `.''c`.e' . 4 , ,r-- -k 'rG
ma r f`C �' / (fig?
//'11,x904' ' V . 4e.
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
(
Foundation drains
�g
Roof drains
-- •—.__
_.._ .,
City fir 1,a as
Residential Sanitary Sewer Service
Compliance Inspection
Date °V1 2/ / C
Name 1', ✓A
PID Number
House Number /
Alternative MailingAddress
Compliance
0 No foundation drain connection
) YNo roof drain connection
t Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6" Transition:
ner /Occupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Property Owner
Time ( / • VC O pm
Disk #
0
2
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
Number of stacks
Length of Service:/
Yellow Copy: City of Eagan
t
Record Number 1 S T_
Street Name / % 1f� `tr- f/ '
Phone
Time 0 ! + /r 0 m
- 72(7 ,/
:/
p
j Ffnspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Obstruction
Unable to push past
feet.
Entered 5 L at fliP 2 r0
C ct
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
/
Transition A/C-
1 d r+
S - Final Cleanout: r ,
Pink Copy: SEH