876 Trails End Rd - Inspection Form41, Cit a Era au
Residential Sanitary Sewer Service
Compliance Inspection
Date/ Time
Name/ )
PD Number
House Number
Alternative Mailing Address
r5 (1 '}
e b - e - r j .
White Copy: Property Owner
Owner /Occupant Signature
Disk #
Street Name
P
Yellow Copy: City of Eagan
Record Number
1 7 •
.0°' •
Phone (iT7 _ 7
Inspector Signature
Pink Copy: SFH
For information call 651.470.278$
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non - Compliance
0 Clear w ater connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings
Roots
Number of stacks
" ] Entered S a t �-T ��l- �"��;" �"
f�T`
""�"
., �
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ,
.,
Transition /,r-° �� °7
'-' ,--' i--- 7 ._1.. -- .---
�2
n
i
4'' to b" Transition:
Length of Service: { {9 - t - : . - Final Cleanout:
_ ' �� " �
i )
Total
Notes
6 k(1;(3 /j
�, ..... ,, w,
4,1 /fj (---,--6-..7.:.
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
t
/ --,./, rte
'
Foundation drains
Roof drains
Ell
Ell
41, Cit a Era au
Residential Sanitary Sewer Service
Compliance Inspection
Date/ Time
Name/ )
PD Number
House Number
Alternative Mailing Address
r5 (1 '}
e b - e - r j .
White Copy: Property Owner
Owner /Occupant Signature
Disk #
Street Name
P
Yellow Copy: City of Eagan
Record Number
1 7 •
.0°' •
Phone (iT7 _ 7
Inspector Signature
Pink Copy: SFH