4755 Eriks Blvd - Inspection Form72 c. /
it Ma ap
Residential Sanitary Sewer Service
Compliance Inspection
Date � ) / % Time
/r? n 7
Name 1 � -H /a/°✓ f Disk 44
PID Number
House Number. `"Street Name
No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
4" to 6"Transition:
White Copy: Property Owner
OwnerlOccupant Signature
Compliance
No foundation drain connection
Service Lateral Inspection Findings
O
O
O
O
0
Non - Compliance
Number of stacks
Alternative Mailing Address
Clear water connections to
sanitary sewer'
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Length of Service: / C
}} •
Time t • pm
Phone J _'_l �l
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past 0 No one in
feet
Entered St at ,7
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: 2
No Access
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
�` i'
i
Foundation drains
! ''),`
Roof drains
72 c. /
it Ma ap
Residential Sanitary Sewer Service
Compliance Inspection
Date � ) / % Time
/r? n 7
Name 1 � -H /a/°✓ f Disk 44
PID Number
House Number. `"Street Name
No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
4" to 6"Transition:
White Copy: Property Owner
OwnerlOccupant Signature
Compliance
No foundation drain connection
Service Lateral Inspection Findings
O
O
O
O
0
Non - Compliance
Number of stacks
Alternative Mailing Address
Clear water connections to
sanitary sewer'
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Length of Service: / C
}} •
Time t • pm
Phone J _'_l �l
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past 0 No one in
feet
Entered St at ,7
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: 2
No Access
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH