837 Great Oaks Tr - Inspection FormElk ui Ea €€n
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / 2 7■ 1(
•
Name .)J rr
PiD Number
House Number Sr
Alternative Mailing Address
or di
Ov' erlOccOamt.Si ,gtur
For information Gail 651.470.2788
Compliance
(5 foundation drain connection
_
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
AI Lr7/ Disk #
Service Lateral Inspection Findings
Roots
Time
'am
• ' O pm
0
Street Name
7
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
r
Number of stacks 1
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
•
hone it '
Obstruction
Unable to push past
feet
'7
0 am
Time /27 pm
Inspector Signature
Entered S L at •
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
Final Cleanout:
Pink Copy: SEH
Total
Notes
„-- a;C�)
f
nL " j�� (c)( . C- s�
" -
:,..,
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
II
Foundation drains
A
____.__ .s.
_._. _
Roof drains
_ _ .
__.�.__.- e -.-_
_____._._ _
Elk ui Ea €€n
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / 2 7■ 1(
•
Name .)J rr
PiD Number
House Number Sr
Alternative Mailing Address
or di
Ov' erlOccOamt.Si ,gtur
For information Gail 651.470.2788
Compliance
(5 foundation drain connection
_
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
AI Lr7/ Disk #
Service Lateral Inspection Findings
Roots
Time
'am
• ' O pm
0
Street Name
7
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
r
Number of stacks 1
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
•
hone it '
Obstruction
Unable to push past
feet
'7
0 am
Time /27 pm
Inspector Signature
Entered S L at •
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
Final Cleanout:
Pink Copy: SEH