4743 Beacon Hill Rd - Inspection Forms41 0111 1 -
City of 1 a a
Residential Sanitary Sewer Service
Compliance Inspection
Date C // 2,f / /4l2
Name Y .7V PLOCC/ /I4// Disk#
PID Number
House Number 4/07
Alternative Mailing Address
Compliance
(<No foundation drain connection
C�. No roof drain connection
pit not connected to
▪ sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: /1,,,
White Copy: Property Owner
Time / d p
Street Name
Owner /Occupant Signature
O
O
O
O
O
Non - Compliance
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
0 am
Time i • C.2 fp'pm
Ph.ne (s /)7Fr
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
EnteredSLat J'142tT ro,
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ✓
Transition 417/6 Cr°. f �. G - S C;'""
Length of Service: 77$ Final Cleanout:
Pink Copy: SEH
Number Discharged
Notes --.. �c7 ( 3'y,C
6 _
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
- -.-
- -
Roof drains
ti
.—
41 0111 1 -
City of 1 a a
Residential Sanitary Sewer Service
Compliance Inspection
Date C // 2,f / /4l2
Name Y .7V PLOCC/ /I4// Disk#
PID Number
House Number 4/07
Alternative Mailing Address
Compliance
(<No foundation drain connection
C�. No roof drain connection
pit not connected to
▪ sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: /1,,,
White Copy: Property Owner
Time / d p
Street Name
Owner /Occupant Signature
O
O
O
O
O
Non - Compliance
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
0 am
Time i • C.2 fp'pm
Ph.ne (s /)7Fr
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
EnteredSLat J'142tT ro,
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ✓
Transition 417/6 Cr°. f �. G - S C;'""
Length of Service: 77$ Final Cleanout:
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date
lam f,'` ? '
•
Name j , 1(, {7, d 71 Disk LLJ ir]
f
PID Number
House Number 71-4.-g Street Name
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time
Owner /Occupant Signature
• 11 O am
• ,X pm
Number of stacks
Length of Service:
]H_H
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
Record Number
Notes
Time
Phone •;
o am
O pm
Inspector
For information call 651.470.2188
Obstruction
Unable to push past
feet
No Access
X No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correcty
Incorrectly Unknown
Sump pumps
M
drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date
lam f,'` ? '
•
Name j , 1(, {7, d 71 Disk LLJ ir]
f
PID Number
House Number 71-4.-g Street Name
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time
Owner /Occupant Signature
• 11 O am
• ,X pm
Number of stacks
Length of Service:
]H_H
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
Record Number
Notes
Time
Phone •;
o am
O pm
Inspector
For information call 651.470.2188
Obstruction
Unable to push past
feet
No Access
X No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH