4140 Nicols Rd - Inspection Form4411111 Cif of Fa ai
Residential Sanitary Sewer Service
Compliance Inspection
Date O 1 / / /0
Name : rc.r Disk #
PID Number
�(- House Number 0 r
C Street Name
Alternative Mailing Address
4” to 6" Transition:
OwnerlOccupant Signature
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
No sump pump
Service lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ,, ??
Transition L /14, /4 ,
f i
.,!
Time • sr�CJ O pm
Non Compliance
0
O
O
0
0
C
s
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: 7 j s'
White Copy: Property Owner
Record Number
ki / pm
Time 0 • o pm
Ph ne
g_f7) ff --,S7T
/ Spector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
No Access
O No one in
Entered S.L.at ,, P-T'! ,e' f o
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number Discharged
Correctly
incorrectly
Unknown
Sump pumps
r✓
--
---
Foundation drains
0 --
-
w °` "°--
Roof drains
,......-•��•_ „er-._
4411111 Cif of Fa ai
Residential Sanitary Sewer Service
Compliance Inspection
Date O 1 / / /0
Name : rc.r Disk #
PID Number
�(- House Number 0 r
C Street Name
Alternative Mailing Address
4” to 6" Transition:
OwnerlOccupant Signature
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
No sump pump
Service lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ,, ??
Transition L /14, /4 ,
f i
.,!
Time • sr�CJ O pm
Non Compliance
0
O
O
0
0
C
s
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: 7 j s'
White Copy: Property Owner
Record Number
ki / pm
Time 0 • o pm
Ph ne
g_f7) ff --,S7T
/ Spector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
No Access
O No one in
Entered S.L.at ,, P-T'! ,e' f o
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH