3525 Great Oaks Pl - Inspection FormA ll. City of Ea ai
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name �/�/ ,} Disk #
PFD Number
Time i l ��
am
0 pm
House Number , Street Name 7 , -�' < J
i
Alternative Mailing Address Phone ! ) �t-47 "% .)
i 4/1 am
OwnerlOccup Sign
0
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
//
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
_,L__,
(SaglPipe Deflection =: r. ;'F l _ .....,, ,,
Damaged Pipe
Transition 4-1-- ;
4" to 6 "Transition:
White Copy: Property Owner
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
Number of stacks 4 Entered S at
y
Length of Service:
Yellow Copy: City of Eagan
/.
Record Number
r
Time if O pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Notes
Number Discharged
Correctly Incorrectly Unknown
MEM
Total
Sump pumps
1
Foundation drains
Roof drains 1111
III.
A ll. City of Ea ai
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name �/�/ ,} Disk #
PFD Number
Time i l ��
am
0 pm
House Number , Street Name 7 , -�' < J
i
Alternative Mailing Address Phone ! ) �t-47 "% .)
i 4/1 am
OwnerlOccup Sign
0
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
//
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
_,L__,
(SaglPipe Deflection =: r. ;'F l _ .....,, ,,
Damaged Pipe
Transition 4-1-- ;
4" to 6 "Transition:
White Copy: Property Owner
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
Number of stacks 4 Entered S at
y
Length of Service:
Yellow Copy: City of Eagan
/.
Record Number
r
Time if O pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH