4070 Mica Tr - Inspection Form11 , 11. City of h p
Residential Sanitary Sewer Service
Compliance Inspection
� ,-.,
Date 411-7/ f / /c) Time / : twirl yp am rr ,
Name c. ifs; l)
PID Number
House Number 4 :/"./17
Alternative Mailing Address
{`:-/ '
Disk #
l �
E
OwnerlOccupant Signature
Street Name 4 ' Tie
For information call 551.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
o' No sump pump
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 —9 , rk .
Roots CC « i s 7 ,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transitio fpv /(fii j, . Length of Service: d
White Copy: Property Owner
Yellow Copy: City of Eagan
S
Record Number
VI o am
T -Tr pm
Phone 's / / /(/ - 107
7 n�spector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
6( .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Sump pumps
••---
--•°'—
Foundation drains
/61/.
-- �•._•_
Roof drains
11 , 11. City of h p
Residential Sanitary Sewer Service
Compliance Inspection
� ,-.,
Date 411-7/ f / /c) Time / : twirl yp am rr ,
Name c. ifs; l)
PID Number
House Number 4 :/"./17
Alternative Mailing Address
{`:-/ '
Disk #
l �
E
OwnerlOccupant Signature
Street Name 4 ' Tie
For information call 551.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
o' No sump pump
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 —9 , rk .
Roots CC « i s 7 ,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transitio fpv /(fii j, . Length of Service: d
White Copy: Property Owner
Yellow Copy: City of Eagan
S
Record Number
VI o am
T -Tr pm
Phone 's / / /(/ - 107
7 n�spector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
6( .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH