825 Great Oaks Lane - Inspection FormCity of Ear
Residential Sanitary Sewer Service
Compliance Inspection
Date cf' ;tea 1 '
Name 214/7n'1. / <. w :; Disk #
PID Number
House Number
Alternative Mailing Address
Transition
i ?
4" to 6" Transition:
Compliance
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
- Damage Pipe �
White Copy: Proper ty Owner
s 1,f •
Time ° 0 •
Owner /Occupant Signature
Street Name
For information call 651.470.2788
Service Lateral Inspection Findings
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
1 '.
o am
O'pm
Number of stacks
Sag /Pipe Deflection f - 1 6 > ' , E� ` 4 ;
Yellow Copy: City of Eagan
/
7
Record Number >w f
Length of Service: {:..
o am
I N •
Time • ` 9 pm
Inspector Signature
Obstruction
Unble to push past
feet
Entered S L.at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Pink Copy: SEH
Number Discharged
Notes _. „ 1.0 -1 ,'
° : i
;`:1 r 1 (2/,, > , .
_ , a /,',/ iZ,, C 6,7:4''':- -� _ 7 1 ax=e
5 _j P 1 f i'Y t 1
c f d s % tV:#
4' 1 d t� J-
r ,')-
L'.. '
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
,, �,'
_
_.__
Roof drains
_ __... - _.
_ _..._.._, ._-_
jZ.ri
City of Ear
Residential Sanitary Sewer Service
Compliance Inspection
Date cf' ;tea 1 '
Name 214/7n'1. / <. w :; Disk #
PID Number
House Number
Alternative Mailing Address
Transition
i ?
4" to 6" Transition:
Compliance
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
- Damage Pipe �
White Copy: Proper ty Owner
s 1,f •
Time ° 0 •
Owner /Occupant Signature
Street Name
For information call 651.470.2788
Service Lateral Inspection Findings
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
1 '.
o am
O'pm
Number of stacks
Sag /Pipe Deflection f - 1 6 > ' , E� ` 4 ;
Yellow Copy: City of Eagan
/
7
Record Number >w f
Length of Service: {:..
o am
I N •
Time • ` 9 pm
Inspector Signature
Obstruction
Unble to push past
feet
Entered S L.at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Pink Copy: SEH