4719 Beacon Hill Rd - Inspection Forms1
City a Ea u
Residential Sanitary Sewer Service
Compliance Inspection
Date, / rf ,
, i.
Name
PID Number
House Number f Street Name
Alternative Mailing Address Phone - %�
For information call 651.470.2788
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 Number of stacks 1
Roots
/
Sagli e Deflection •,. (_ ? )-- / 1 i-I ' i X"
f
Damaged Pipe 1,./\ ✓- ?(7 / -_{/__ . , - ,.. _' ": ,i �,"`- -.i ,.0
. t t r ��'' /.r' i
Transition =-' ./ "`" 4 7 .. -
F
Final Cleanout J w µ t,W ` •
r
4" to 6 "Transition:
White Copy: Property Owner
Disk#
11• %p am
Time 1 /. ' pm
OwnerIOccupant Signature
4
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
Time • b pm
Lica
r f e
Inspect Signature
Obstruction
Unable to push past
feet
1
7 1 .
i
.
1 1
O inspection
refused
No Access
O No one in
O Access to service
lateral needed
Entered S.L at — � :rte -a��' _
Pink Copy: SEH
Number Discharged
Notes
Not
j j ' /` 11 i
i i _ r f - ; r
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
1
City a Ea u
Residential Sanitary Sewer Service
Compliance Inspection
Date, / rf ,
, i.
Name
PID Number
House Number f Street Name
Alternative Mailing Address Phone - %�
For information call 651.470.2788
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 Number of stacks 1
Roots
/
Sagli e Deflection •,. (_ ? )-- / 1 i-I ' i X"
f
Damaged Pipe 1,./\ ✓- ?(7 / -_{/__ . , - ,.. _' ": ,i �,"`- -.i ,.0
. t t r ��'' /.r' i
Transition =-' ./ "`" 4 7 .. -
F
Final Cleanout J w µ t,W ` •
r
4" to 6 "Transition:
White Copy: Property Owner
Disk#
11• %p am
Time 1 /. ' pm
OwnerIOccupant Signature
4
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
Time • b pm
Lica
r f e
Inspect Signature
Obstruction
Unable to push past
feet
1
7 1 .
i
.
1 1
O inspection
refused
No Access
O No one in
O Access to service
lateral needed
Entered S.L at — � :rte -a��' _
Pink Copy: SEH
4 City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Name &14 t /7 • i ) P. Disk #
Date 0 >f 1 fry Time S • 2C✓ pm
PID Number
House Number 7/ Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
j Q No roof drain connection
N
R Sump pit not connected to
`sanitary sewer
Vd Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints L i 7. C I, «.- i" . Cr
Mineral Deposits
0
Damaged Pipe
Transition h� f �o:e; 7 1l4 - A/C C"
4" to 6" Transition:
White Copy: Property Owner
1
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
Yellow Copy: City of Eagan
Record Number
E
Phone
Time
(P3/2.." M,
• O am
• t �
;,- Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Number of stacks I Entered S. L., at , .4-c ? .
O Access to service
lateral needed
O Inspection
refused
Sag /Pipe Deflection try , .�� ._,�r r 2 r
r,
Length of Service: 2 ✓ Final Cleanout: 6, ,,
Pink Copy: SEH
Number Discharged
Notes ,,,,- , r ,o
-" i (441 0 %s ;;Qs /
,31 4 r � „ c rr) �, "`�- � / '
1._ / 6 3\ (j.,
'IsA/ '�` " - : 7-` e /.r--
Total
Correctly
Incorrectly
Unknown
Sump pumps
4
Foundation drains
Roof drains
4 City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Name &14 t /7 • i ) P. Disk #
Date 0 >f 1 fry Time S • 2C✓ pm
PID Number
House Number 7/ Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
j Q No roof drain connection
N
R Sump pit not connected to
`sanitary sewer
Vd Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints L i 7. C I, «.- i" . Cr
Mineral Deposits
0
Damaged Pipe
Transition h� f �o:e; 7 1l4 - A/C C"
4" to 6" Transition:
White Copy: Property Owner
1
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
Yellow Copy: City of Eagan
Record Number
E
Phone
Time
(P3/2.." M,
• O am
• t �
;,- Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Number of stacks I Entered S. L., at , .4-c ? .
O Access to service
lateral needed
O Inspection
refused
Sag /Pipe Deflection try , .�� ._,�r r 2 r
r,
Length of Service: 2 ✓ Final Cleanout: 6, ,,
Pink Copy: SEH