678 Brentwood Lane - Inspection Form`Cat , u
Y of
Residential Sanitary Sewer Service
Compliance Inspection
Date -)
House Number
Roots
Poor Pipe Joints
rr } r /
Name �j �3 /I� I r Disk#
PID Number
4" to 6 "Transition:
•' ° am
Time • pm
tif3
Street Name
Alternative Mailing Address
0 et /0ccu ant Signature
rrr
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2- 3'C
White Copy: Property Owner
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
AA 3 p Flexible sump pump piping
1
Record Number
Phone
Obstruction
Entered S L at
o am
Time • pm
Inspector Signature
Yellow Copy: City of Eagan-- �" '° r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: „, Final Cleanout: '
/1 4
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly, , unknown
Notes
1, n,
7)C ;' '
-`'? '` 1 /'r' ( u
} it i :1-71
mo ° � ( r Roof
�- 1 i1. -r! -/ ''' _, . C -r ?r 6,._
S ump pumps,
Foundation drains
/1
drains
.. s
`Cat , u
Y of
Residential Sanitary Sewer Service
Compliance Inspection
Date -)
House Number
Roots
Poor Pipe Joints
rr } r /
Name �j �3 /I� I r Disk#
PID Number
4" to 6 "Transition:
•' ° am
Time • pm
tif3
Street Name
Alternative Mailing Address
0 et /0ccu ant Signature
rrr
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2- 3'C
White Copy: Property Owner
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
AA 3 p Flexible sump pump piping
1
Record Number
Phone
Obstruction
Entered S L at
o am
Time • pm
Inspector Signature
Yellow Copy: City of Eagan-- �" '° r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: „, Final Cleanout: '
/1 4
Pink Copy: SEH