702 Brentwood Lane - Inspection Forms{
Number Discharged
Correctly Incorrectly Unknown
=ME
Notes
Total
Sump pumps
Foundation drains
/
Elm
Roof drains
4 111 ' . .. City of f a ari
Residential Sanitary Sewer Service
Compliance Inspection
Date 0q! ? / ic"
Name /4 C• cfAx
PID Number
House Number 7 Street Name
4" to 6" Transition:
White Copy: Propel ty Owner
f • • a .1d 0 a
Time m
p
Disk #
Owner /Occupant Signature
Compliance
VNo foundation drain connection
' t
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
z
' Length of Service:
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
Yellow Copy: City of Eagan
Record Number t"
c
Number of stacks / Entered S.L. at
&( d isJ 9 3
Phone ( 4 2' •• �='
Time /Z- • • OS
inspector Signature
o am
m
For information call 651.470.2788
Obstruction
Unable to push past
feet.
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 L ray
l Clanout:
Pink Copy: SEH
41 .01 11 - •
Residential Sanitary Sewer Service
Compliance Inspection
Date (:/ ?G / /v
Name .G -
AID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
• Axam
Time /: • 0 pm
2 C Street Name
Owner /Occupant Signature
Disk # L J
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
Length of Service:
Yellow Copy: City of Eagan .
Record Number
LI] ri Time
Phone g- 4Z
1
inspector Signature
Obstruction
Unable to push past
feet
Oam
•
• O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
/ '`' A/a /VUf C ./r ; N ' / 1 Z
f/ - / /.°moo /A//1
f
Transition l'
Final Cleanout:
"
Pink Copy: SEH
Number Discharged
Notes
,.,}r'�a / 0:0) X,,,,,,,,„
it``';r r 6e,. t�� , � °c "w
i
6 _ C; . :/,/ /k,%---- A 44 ,
r,
/ � f � /i � . '
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
)
41 .01 11 - •
Residential Sanitary Sewer Service
Compliance Inspection
Date (:/ ?G / /v
Name .G -
AID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
• Axam
Time /: • 0 pm
2 C Street Name
Owner /Occupant Signature
Disk # L J
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
Length of Service:
Yellow Copy: City of Eagan .
Record Number
LI] ri Time
Phone g- 4Z
1
inspector Signature
Obstruction
Unable to push past
feet
Oam
•
• O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
/ '`' A/a /VUf C ./r ; N ' / 1 Z
f/ - / /.°moo /A//1
f
Transition l'
Final Cleanout:
"
Pink Copy: SEH