3645 Great Oaks Cir - Inspection Form4111111- Cit o Ea air
Residential Sanitary Sewer Service
Compliance Inspection
Date 0'14 /5' / mow /g2 Time ! fo
Name. i - /�?i s►�Disk #
PID Number
House Number. Street Name
Compliance
/ ,O No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner /Occupant Signature
No foundation drain connection
4" to 6" Transition:
White Copy: Proper ty Owner
0
0
Record Number r
l l Time 09' : d .
° am
0 pm
Alternative Mail'ingAddress Pho re t/)
For information call 651.470.2788
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
6
t
V Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
Final Cleanout:
O inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S.L.at -7)'K
Roots ` � "pp.i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 4 t'' fC I S
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
(
l
Foundation drains
rod
..,`�`.
- ,.�_
Roof drains
___.._.___.__.._...___.
4111111- Cit o Ea air
Residential Sanitary Sewer Service
Compliance Inspection
Date 0'14 /5' / mow /g2 Time ! fo
Name. i - /�?i s►�Disk #
PID Number
House Number. Street Name
Compliance
/ ,O No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner /Occupant Signature
No foundation drain connection
4" to 6" Transition:
White Copy: Proper ty Owner
0
0
Record Number r
l l Time 09' : d .
° am
0 pm
Alternative Mail'ingAddress Pho re t/)
For information call 651.470.2788
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
6
t
V Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
Final Cleanout:
O inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S.L.at -7)'K
Roots ` � "pp.i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 4 t'' fC I S
Pink Copy: SEH