856 Great Oaks Tr - Inspection FormSump pumps
�.
Foundation drains
Ell
IIII
Roof drains
_- - -___�
"` City o f Eo. aii
Residential Sanitary Sewer Service
Compliance Inspection
Date C -Ls2
'1
PID Number
Name 0476,44 /'t ✓ #
House Number
Alternative Mailing Address
Compliance
For information call 651.470.2788
No foundation drain connection
10 No roof drain connection
/Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition L i'
4" to 6 "Transition:
White Copy: Property Owner
f" OwnerlOccupant Signature
J
Total
• O ern
Time / • C,) #,.pm
1'
Street Name
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 l Entered S L at
!> C_ . 7 i7'
Number Discharged
Correctly
incorrectly
Unknown
Yellow Copy: City of Eagan
P
.% , 5 7Z'
Length of Service: /
Record Number
Pho g ;)AR
/ 7 Inspector Signature
Obstruction
Unable to push past
feet..
• O am
Time i • ! c,kpm
No Access
O No one in
J ii /C co
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Notes
(/A/4 Dcf 6.JA/
— NO / :� .4 / a I ot47
1 91(14 40
Pink Copy: SEH