820 Great Oaks Lane - Inspection FormsCity of I a ao
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7 / )C2
Name // / %�T� Disk#
PID Number
House Number 2G
Alternative Mailing Address
4" to 6" Transition:
Owner /Occupant Signature
Compliance
0 No foundation drain connection
�? No roof drain connection
id Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
i No sump pump
White Copy: Property Owner
▪ am
Time / • o pm
Street Name
0
0
O
0
0
Non - Compliance
_71,_
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
• (4 "am
Time • o pm
hispector Signature
Phpne
For information call 651.470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks._ F Entered S at
Roots f
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Notes 4
(r0 ( - -C1-U
■ Q r-* -(0 I. .s- ,
�. �l i 4/7` /"V r
r
6 V7 ._ - 9P : -- ,412 VII e r
' +
-^�a
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
City of I a ao
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7 / )C2
Name // / %�T� Disk#
PID Number
House Number 2G
Alternative Mailing Address
4" to 6" Transition:
Owner /Occupant Signature
Compliance
0 No foundation drain connection
�? No roof drain connection
id Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
i No sump pump
White Copy: Property Owner
▪ am
Time / • o pm
Street Name
0
0
O
0
0
Non - Compliance
_71,_
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
• (4 "am
Time • o pm
hispector Signature
Phpne
For information call 651.470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks._ F Entered S at
Roots f
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Notes
Number
Correctly
Discharged
incorrectly
Unknown
Total
r'1
'f%' ' =�1� ; -x �G%'1�( c_.---.----'
Sump pumps
Foundation drains
Roof drain _ ') r. 1 l ' (( n /
y } -
( -� -71-79 ,C/r�' E ,� /,�-� P .�
4 111. . Clt OI� I;aIl
Residential Sanitary Sewer Service
Compliance Inspection
Date LL 11 ) /./.')
4" to 6 "Transition:
White Copy: Property Owner
Time
/ Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
PID Number
House Number r Street Name
Alternative Mailing Address
t
For information call 651.470.2788
Non - Compliance
O
O
O
0
0
am
pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Ea
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
• O am
• O pm
) (�
Phone PI - 4 74
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Insp� r/ '
refused
Entered S L.at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
C ll ✓C / ,, , e-/ Pink Copy: 5E H
4 4-4 /4" -- / L ) --- v / r ;
% r
Sump pumps
-�
.,_-
Foundation drains
r .-__
__µ__ _ .T_..___..._.
-.__
Roof drains
r ~~-
City ofCapp
Residential Sanitary Sewer Service
Compliance Inspection
Date '/. Timer
Name 7/'V o Disk #
OwnerlOcc pant Signature
Com Rance
- No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
10/No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Propel ty Owner
Total
Correctly
• dim
• 3V 'o pm
0
PID Number
e fl
e
0
Record Number
House Number ZQ Street Name 'mil` (721 r.
Alternative Mailing Address
For information call 651.470.2788
Damaged Pipe p
- e i Transition s .Av J. (t, 1a Ar ( 7-5
r
/
f
-- 4
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
Obstruction
Unable to push past
feet.
Number of stack Entered S. L at
t & 7 :hf(3
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Notes
Time r/
Phone i ) y�
inspector Signature
Length of Service: Final Cleanout
1 r 1
Pam
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH