4855 Sheffield Lane - Inspection Forms4_ 1 , 111. City o Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Dated 5 ; /
Name i7 /4 I1/ f r (1il isk #
PID Number
House Number °7 .. Street Name
Alternative Mailing Address
Compliance
n.nfl
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
4" to 6" Transition:
White Copy: Proper ty Owner
Time
01 Signature
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
For information .call 651A70.2788
Service Late .a1 Inspection Findings Number of stacks 7 Entered S at -- '
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , 1,6
Length of Service:
Yellow Copy: City of Eagan
Inspector Signature
Record Number
Obstruction
Unable to push past
feet
- , am
Time • O pm
Phone r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cieanout: , � d
Pink Copy: SEH
Total
Notes
C/ ?/rf_- 7 1 r
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Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
f
Foundation drains
Roof drains
4_ 1 , 111. City o Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Dated 5 ; /
Name i7 /4 I1/ f r (1il isk #
PID Number
House Number °7 .. Street Name
Alternative Mailing Address
Compliance
n.nfl
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
4" to 6" Transition:
White Copy: Proper ty Owner
Time
01 Signature
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
For information .call 651A70.2788
Service Late .a1 Inspection Findings Number of stacks 7 Entered S at -- '
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , 1,6
Length of Service:
Yellow Copy: City of Eagan
Inspector Signature
Record Number
Obstruction
Unable to push past
feet
- , am
Time • O pm
Phone r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cieanout: , � d
Pink Copy: SEH
City
of
Residential Sanitary Sewer Service
Compliance Inspection
Date// ] r a
Name i rL, }
PID Number
1 �
House Number Street Name
1
Compliance
O No foundation drain connection
O 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
4" to 6 "Transition:
White Copy: Pi operty Owner
Time5 e_ am
O pm
isk #
OwnerlOccupant Signature
Non — Compliance
0
O
O
0
0
- 111 - m
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
O am
•
0 p
Inspector Signature
Obstruction
Unable to push past
feet.
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe__
Transition
Pink Copy: SEH
r
Number D
Discharged
Notes /
Total C
Sump pumps i
Foundation drains „
Roof drains 4
,... 1 7
of
Residential Sanitary Sewer Service
Compliance Inspection
Date// ] r a
Name i rL, }
PID Number
1 �
House Number Street Name
1
Compliance
O No foundation drain connection
O 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
4" to 6 "Transition:
White Copy: Pi operty Owner
Time5 e_ am
O pm
isk #
OwnerlOccupant Signature
Non — Compliance
0
O
O
0
0
- 111 - m
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
O am
•
0 p
Inspector Signature
Obstruction
Unable to push past
feet.
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe__
Transition
Pink Copy: SEH
r