4792 Beacon Hill Rd - Inspection FormsCity � of }a an
4111111
Residential Sanitary Sewer Service
Compliance Inspection
Date 11 Time
Name
PI #
am
pm
PID Number
House Number
�--� Street Name
Alternative Mailing Address
•
Record Number
l
` Owner/Occupant Signature
„P' Time
•
rn
! pm
1 C / f 1
Phone ._
inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
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 Number of stacks `1 Entered S L at 47,9
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition- 1-7//�' -_' 1 (f2 :-..1.--1--, 4-4 f); , ---r--- /.* //` —7C
4" to b"Transition: Length of Servicer -k_ Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Discharged
Notes
Total
Correctly
Incorrectly
Unknown
[�/ 1,'t , (.J--."-2)7);
( '`c' »yT
Sump pumps
i
-�(J
2 } / f:;--71t:;,?--
ff;
drains
e ---,Foundation
c.,,'» 1 f o;?r�Y/ l !2., v! :'` !)/ ,_-/
Roof drains
1
i 1 ✓ (
cif C1?;._ -_--.-----'-e--;)1-7-7,— t
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Citof Faso
Residential Sanitary Sewer Service
Compliance Inspection
t�
Date - / /6//
/ •/C/
Name l 4Ji /% ' IC( Disk#
Time / •
PID Number
House Number
Alternative Mailing Address
y_r
Street Name
1 -
Record Number
Time
--
•
•
oam
o pm
Owner/Occupant Signature
Phon
}711F -r/ Z/
f -`f) ,f
i /
lnspectar Signature
For information call 65 1.470.2788
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
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 . at
Roots
Poor.PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:
Notes
NumberDischarged
Correctly
Dischar
incorrectly
ed
Unknown
=-
`1<. �-
/
I
Total
Sump pumps
111111-
Foundation drains
Roof drains
--
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH