781 Elrene Ct - Inspection FormsCity of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
Date O// /! 1 /0
Name 2A4/ 4A/VIe .
House Number
Alternative Mailing Address
. JL✓ 1 �La
Time /'0 : ✓ r) p pm
Disk #
PID Number
OwnerlOccupant Signature
f
Street Name 7 m
Record Number s r -
y pram
Time 1 1 d • ' O pm •
Phone ,'f�._ %J
/ Inspector Signature
For information call, 651.470.2788
Compliance
O No foundation drain connection
Q No roof drain connection
/0/Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A O / No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L.at ro ft ('
Roots
9 id/yr,
1 /
Damaged Pipe
Transition J /AI ✓4 / / AI ?C"/ • - t..� �;�% !��_ (
• 1 I
/-i vim,
4" to 6" Transition:
White Copy: Pr oper ty Owner
Len o of
ervice: /
Yellow Copy: City of Eagan
Final Cleanout: fi /
Pink Copy: SEH
Total
Notes L'./14,,�°.•v ' r oc r
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r�
t '�/ y z!� z /.: VA,.-12.4-,x'
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' =iii! ii/ci L7.1,' - 11,,,--
qf�� �
` r r� 1 € �
J I,✓ ¢ / ,? o, / 4 43r� tf...e a "._till
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
-
Foundation drains
Roof drains
City of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
Date O// /! 1 /0
Name 2A4/ 4A/VIe .
House Number
Alternative Mailing Address
. JL✓ 1 �La
Time /'0 : ✓ r) p pm
Disk #
PID Number
OwnerlOccupant Signature
f
Street Name 7 m
Record Number s r -
y pram
Time 1 1 d • ' O pm •
Phone ,'f�._ %J
/ Inspector Signature
For information call, 651.470.2788
Compliance
O No foundation drain connection
Q No roof drain connection
/0/Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A O / No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L.at ro ft ('
Roots
9 id/yr,
1 /
Damaged Pipe
Transition J /AI ✓4 / / AI ?C"/ • - t..� �;�% !��_ (
• 1 I
/-i vim,
4" to 6" Transition:
White Copy: Pr oper ty Owner
Len o of
ervice: /
Yellow Copy: City of Eagan
Final Cleanout: fi /
Pink Copy: SEH