1484 Pinetree Pass - Inspection Form4 4111 1 0-
Gl Lipp
Residential Sanitary Sewer Service
Compliance Inspection
Date 04 &J / Time ° 7 s (70
Name ailo.A. e 4-6-A, Disk # �)
PID Number
House Number
Alternative Mailing Address
/e/
OwnerlOccupant Signature
Compliance
/'O No foundation drain connection
R ' No roof drain connection
Y
Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Proper Owner
I
,
Lf
am
O pm
di—
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:
Yellow Copy: City of Eagan
Record Number 1 2
0
Time
d'am
• J O pm
Street Name
l�
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stack& 1 Entered S.L.at TT /{',A (7
Roots t ` V A I
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition /-' /I 6 e ; ,P-
Final Cleanout: 7.
e.7 e,/verb
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1
Foundation drains
��'�•
f
---°--"W` "�'_
Roof drains
_
4 4111 1 0-
Gl Lipp
Residential Sanitary Sewer Service
Compliance Inspection
Date 04 &J / Time ° 7 s (70
Name ailo.A. e 4-6-A, Disk # �)
PID Number
House Number
Alternative Mailing Address
/e/
OwnerlOccupant Signature
Compliance
/'O No foundation drain connection
R ' No roof drain connection
Y
Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Proper Owner
I
,
Lf
am
O pm
di—
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:
Yellow Copy: City of Eagan
Record Number 1 2
0
Time
d'am
• J O pm
Street Name
l�
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stack& 1 Entered S.L.at TT /{',A (7
Roots t ` V A I
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition /-' /I 6 e ; ,P-
Final Cleanout: 7.
e.7 e,/verb
Pink Copy: SEH