1523 Pinetree Tr - Inspection Form4.9-,--e-i77-7 /- div-7---v.
s - Number
Correctly
Discharged •
Incorrectly Unknown
Notes -
3 e. Ay -7 / cr/( '-
„.
(.1-1 A-/
Ai
--7
i
Total
Sump pumps
i
Foundation drains
(V
Roof drains
-/
C .i
/'---
----___
___,.
4111111 -
City ot
Residential Sanitary Sewer Service
Compliance Inspection
Date 67 / /2
Name 4,4"Zi
PID Number
House Number
45
Alter native Mailing Address
/0
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
6 Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral 'Inspection Findings Number of stacks i Entered 5 L at /A C62
L/rl 27
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition 7/4/ (:)/0
4" to 6" Transition:
White Copy: Property Owner
Time /2 •• A fip, - ° am
Pm
/
Disk #
0
1
Street Name alg7772 7
/ •
Ph„e ,ef.
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
Length of /0
service: " 7
Yellow Copy: City of Eagan
Record Number.
E
Time
Obstruction
Unable to push past
feet
/ i n'spector Signature
0 am
02
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH