4628 Pinetree Curve - Inspection FormNotes
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Illil
Foundation drains
Roof drains MEI
_ _____
____
z City of Eapil
Residential Sanitary Sewer Service
Compliance Inspection
Date c .rl ri( / /C
Name . r V , /r9 1(4/ 9f, r Disk #
House Number W/s
Alternative Mailing Address
(i/ , ?
White Copy: Proper ty Owner
.40-) • O am
Time
PID Number
Owner /Occupant Signature
0
Yellow Copy: City of Eagan
Record Number'
Street Narne 1/x./777 /•-.�.' i'if "
6 Time l
Phone (.. 'Y - 2Y
i" Inspector Signature
• fam
Compliance
itt,: No foundation drain connection
No roof drain connection
d Sump pit not connected to
'sanitary sewer
O Surnp pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
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 i Entered S at ° 77 - C! _.
e CC
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: 0
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
For information call 651.470.2788
Final Cleanout:'C"`"
Pink Copy: SEH