4858 Richard Lane - Inspection Forms4400. • •
CIty ol Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date. 4 / /
Name '71 ) Disk #
PID Number
House Number Street Name
Alter native Mailing Address
Owner/Occupant Signature
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
4" to 6" Transition:
White Copy: Pr-operty Owner
• / 0 m
Time a
/ • 0 pm
Non-Compliance
0
=WEN
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone ,
inspector Signature
Obstruction
Linable to push past
feet
Final Cleanout:
0 am
• •
o pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Pool-Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
, . , , __
' : - .,...... — __ 7.1>
_._ , , ,----.
_ ,,,,,..._ ) .-,..,) i.,--1----,.: ) ( i 1
,,,,-.?
' ' 1 - '-=1 ' ( - 7 7.
Total
Sump pumps
MI.
Foundation drains
ill
Roof drains
..
4400. • •
CIty ol Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date. 4 / /
Name '71 ) Disk #
PID Number
House Number Street Name
Alter native Mailing Address
Owner/Occupant Signature
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
4" to 6" Transition:
White Copy: Pr-operty Owner
• / 0 m
Time a
/ • 0 pm
Non-Compliance
0
=WEN
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone ,
inspector Signature
Obstruction
Linable to push past
feet
Final Cleanout:
0 am
• •
o pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Pool-Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
' C
Number
Correctly
Discharged
Incorrectly Unknown
Notes rif-- _ c - .. ;, ,�,
_) / /r , r - `i
g - , v c, , °> f , -: t J /
, lI ?;
Total
Sump pumps
-- -_ .
Foundation drains
� ;�/��/��
f, � 1,
,. 77 , , ,-
Roof drains
(3.-
--
�--
441 01 1-
Eit of to a
Residential Sanitary Sewer Service
Compliance Inspection
Date , f 1 /f 1 t
Name
/ ion •
isk #
✓ (/ t
PID Number
House Number Z/ My Street Name
•
Alternative Mailing Address ji r , . t,a3 :117i
Owner /Occupant Signature
Compliance
O No foundation drain connection
1 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
.a No sump pump
4" to 6 " Transition:
White Copy: Property Owner
• J/ ; ix am
Time •!f opm
Non - Compliance
O
O
O
O
0
0
UMW
s
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service: / /(20,
Yellow Copy: City of Eagan
Record Number f'
Time • /
Phone f
ff
`inspector Signature
Obstruction
Unable to push past
feet
Damaged Pipe
Transition' t /r41;ri i f ry ' /LG . '' �' % ^I PVC. f a f
f
.4 ,6' am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 7 Entered S.L. at 77, t5` "7 — LIS
161 rj te-
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Final Creanout: b✓�./ / � ..v
Pink Copy: SEH