1377 Grace Dr - Inspection Form41111
City ot
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 37 -c' 1 /
Name
PID Number
House Number /.. / 7
O Sump pump properly piped
0 No sump pump
Disk#
OwnerlOccupant Signature
Compliance
No foundation drain connection
0 No roof drain connection
I- Sump pit not connected to
sanitary sewer
Service Lateral Inspection Findings
4" to 6 "Transition:
A it
White Copy: Property Owner
Time ,/ 7' t-: `p pm
Street Name
0
Alternative Mailing Address
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
Roots
•
Length of Service: ' -�;
Yellow Copy: City of Eagan
.r/
Record Number
C) oam
Time � 1 • __E o pm
•
Phone .4g".. ') I s4 7,17
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S,L,at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe.
Transition
Final Cleanout: y
Pink Copy: SEH
Total
Notes
=" c_. ..
�
. ,9�4 ,.1
F ,
'. `- ,' .. 1 " �''a f;
` � < „,: > ..• ' ..
/
0.c-- '.., r y
°
Number
Di
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
,:��
" �
Roof drains
)r
41111
City ot
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 37 -c' 1 /
Name
PID Number
House Number /.. / 7
O Sump pump properly piped
0 No sump pump
Disk#
OwnerlOccupant Signature
Compliance
No foundation drain connection
0 No roof drain connection
I- Sump pit not connected to
sanitary sewer
Service Lateral Inspection Findings
4" to 6 "Transition:
A it
White Copy: Property Owner
Time ,/ 7' t-: `p pm
Street Name
0
Alternative Mailing Address
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
Roots
•
Length of Service: ' -�;
Yellow Copy: City of Eagan
.r/
Record Number
C) oam
Time � 1 • __E o pm
•
Phone .4g".. ') I s4 7,17
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S,L,at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe.
Transition
Final Cleanout: y
Pink Copy: SEH