878 Trails End Rd - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date / ) / � 'i
Name 77 : ' ' °' a . P, .,-1-,,,---:" I . ,---rtir
MD Number
House Number f Street Name
Alternative Mailing Address
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
Owner /Occupant Signature
Compliance
O No foundation drain connection
For information call 65 1.470.2788
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
a
Length of Service: C.PC7
Yellow Copy: City of Eagan
Record Number
1 Time
„` O em
J4 Pm
Phone
Obstruction
Unable to push past
feet.
Inspector Signature
l
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L. at i':,�r
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition • ry
Final Cleanout: )
1
Pink Copy: SEH
Number Discha
ged
Unknown
Notes
1 i' r
'' � 'E )
- z, / i . „..---"Thj
• -,
Total
Correctly
Incorrectly
Sump pumps
r -
! o
Foundation drains
Roof drains
'
Residential Sanitary Sewer Service
Compliance Inspection
Date / ) / � 'i
Name 77 : ' ' °' a . P, .,-1-,,,---:" I . ,---rtir
MD Number
House Number f Street Name
Alternative Mailing Address
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
Owner /Occupant Signature
Compliance
O No foundation drain connection
For information call 65 1.470.2788
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
a
Length of Service: C.PC7
Yellow Copy: City of Eagan
Record Number
1 Time
„` O em
J4 Pm
Phone
Obstruction
Unable to push past
feet.
Inspector Signature
l
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L. at i':,�r
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition • ry
Final Cleanout: )
1
Pink Copy: SEH