4065 Beryl Rd - Inspection Form441111
City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date LI / ` it
Name
PID Number
House Number
r/J Street Name
Alternative - Mailing Address
j' /�� �W_. / /yam /_ % :� /,r
Owner /Oe S
Compliance
No foundation drain connection
No roof drain connection
1 0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
/ ,)4 , No sump pump
Service Lateral Inspection Findings
Transition
4" to 6 "Transition:
T
White Copy: Pr operty Owner
•,j p am
Time .s e pm
Length of Service:
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 Entered S.L at
///
Yellow Copy: City of Eagan
Record Number
Time
o,am
•
• C pm
Phone �� )
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
/!
�� Enal Cleanout:
No Access
O No one in
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
( , 1
441111
City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date LI / ` it
Name
PID Number
House Number
r/J Street Name
Alternative - Mailing Address
j' /�� �W_. / /yam /_ % :� /,r
Owner /Oe S
Compliance
No foundation drain connection
No roof drain connection
1 0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
/ ,)4 , No sump pump
Service Lateral Inspection Findings
Transition
4" to 6 "Transition:
T
White Copy: Pr operty Owner
•,j p am
Time .s e pm
Length of Service:
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 Entered S.L at
///
Yellow Copy: City of Eagan
Record Number
Time
o,am
•
• C pm
Phone �� )
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
/!
�� Enal Cleanout:
No Access
O No one in
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH