756 Elrene Ct - Inspection Formscity at Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date =1 / ;,' Time • .,.'
Name
f / �`f isk#
PID Number
House Nuri er f ! > Street Name
Alternative MailingAddress
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
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
For information call 651 .470.2788
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
• O am
• Opm
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
Notes
, } � - `! 1.-'1,--------
- J )` - L ..
Total
Correctly
Incorrectly
Sump pumps
Foundation drains
Roof drains
city at Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date =1 / ;,' Time • .,.'
Name
f / �`f isk#
PID Number
House Nuri er f ! > Street Name
Alternative MailingAddress
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
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
For information call 651 .470.2788
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
• O am
• Opm
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
4110
City of Ea are
Residential Sanitary Sewer Service
Compliance Inspection
o am
Date 7/ L / Time .6 Pm
Name
PID Number
House Number 7 ._.
J ib .:
'Disk #
Street Name
- (--(. 'C. /tt:L
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Damaged Pipe
, <
Transition
14 C
4" to 6 "Transition:
White Copy: Proper ty Owner
Non - Compliance
Length of Service:
Yellow Copy: City of Eagan
Record Number
Alternat Mailing Address Phone /_
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L,at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
ime
lnspecr Signature
am
pm
O inspection
refused
No Access
O No one in
O Access to service
lateral needed
-
��,,Final Cleanout: <7271'
72 f
Pink Copy: SEH
(2
_
Number
Correctly
Discharged
Notes
--`" l ' d c.-- i _ : �� i ce '
✓ 1 ) ��_ J
/ -
�/ ) .1 �' r 1 tom , --, ���
( 2 4-4— � T71- y )_
Incor•rectl
Unknown
Sump pumps
r f
Foundation drains
Roof drains
4�
4110
City of Ea are
Residential Sanitary Sewer Service
Compliance Inspection
o am
Date 7/ L / Time .6 Pm
Name
PID Number
House Number 7 ._.
J ib .:
'Disk #
Street Name
- (--(. 'C. /tt:L
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Damaged Pipe
, <
Transition
14 C
4" to 6 "Transition:
White Copy: Proper ty Owner
Non - Compliance
Length of Service:
Yellow Copy: City of Eagan
Record Number
Alternat Mailing Address Phone /_
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L,at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
ime
lnspecr Signature
am
pm
O inspection
refused
No Access
O No one in
O Access to service
lateral needed
-
��,,Final Cleanout: <7271'
72 f
Pink Copy: SEH
(2