1372 Grace Dr - Inspection Form4 City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date (94 Z- 1
Name :. / '/ . 7 Disk # I O
PID Number
Alternative Mailing Address
i-
x() Sump pit not connected to
'' sanitary sewer
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time d • pm
Owner Si gnature
Compliance
Q ' No foundation drain connection
" roof drain connection
Sump pump properly piped
House Number ✓, ".r2 Street Name r�
fhonec5�c� -
r
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 1J
/
am
Time J O pm
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
No Access
O No one in
Final Cleanout' '--
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks ' - Entered S,L.at r? 'rf'� '19r,:. , ✓',�
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r,s 1
f I
Pink Copy: SEH
f
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
1
Foundation drains
!
Roof drains
4 City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date (94 Z- 1
Name :. / '/ . 7 Disk # I O
PID Number
Alternative Mailing Address
i-
x() Sump pit not connected to
'' sanitary sewer
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time d • pm
Owner Si gnature
Compliance
Q ' No foundation drain connection
" roof drain connection
Sump pump properly piped
House Number ✓, ".r2 Street Name r�
fhonec5�c� -
r
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 1J
/
am
Time J O pm
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
No Access
O No one in
Final Cleanout' '--
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks ' - Entered S,L.at r? 'rf'� '19r,:. , ✓',�
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r,s 1
f I
Pink Copy: SEH