1477 Thomas Lane - Inspection FormsAl- City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date_ 1_'/,/'
111-';(1) am
'/
Time f pm
Name V0 4 -' ' /jr''Ir7 Disk #
PID Number
House Number
7 7 Street Name
Alternative Mailing Address
mYWII
Record Number
-rri
Ovner{Occupant Signature
Time
Phone
o am
•
• o pm
fns ,ector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
O No sump pump
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
Obstruction
Unable to push past
feet.
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Number of stacks
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6"Transition:
Length of Ser vice:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Notes
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Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps,
Foundation drains
Roof drains
--
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
41111" •
ray or Eag,an
Residential Sanitary Sewer Service
Compliance Inspection
Date --7/ )) ) / ) L' Time
Name
PID Number
Z
i•6) am
."111_____Opm
Disk #
House Number L
. t
Alternative Mailing Address
Record Number
Street Name j _r7 --271/77,f'
Time
�am
i, r �• s- ^,f O pm
Phone 1
C lX-,t,„1---, A /.
Ownerfo pant Signature
7) )
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
i
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No roof drain connection
No sump pump
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
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Number of stacks Entered S Lat
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition -¢—?
4" to 6" Transition:
Length of Service:
-' -t Final Cleanout:
Notes
Number Discharged
: --
"--,,,i ----
-(.1;1(
Total
Total
Correctly
Incorrectly
Unknown
f`,
�! ` i) J''/ `^'! / J 7 ,, 6/
Sump pumps
(z)i}
MEI
' ! Wr- j��`._'1 iJC:=-
110, "�?
foundation drains
M
(--),.-2,,) ....,,, , _' -2,,r
) .
Roof drains
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH