4059 Mica Tr - Inspection Forms4106k.
Cit or Ekan
Residential Sanitary Sewer Service.
Compliance Inspection
10
f • O am
I Date(�'1 I Time i • pm
Name L tivb 11 0ii, { Disk #
PID Number
House Number Li US Street Name r f `'l T$.
Alternative Mailing Address
Record Number
L
• o am
Time __ • o Pm
hone
`i` 1
r„1�/ IJ
/2:C/) //ft/ -S**5-9
1
Owner/Occupant Signature
f ilnspector Signature
jr
For information call 651.470.2788
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
0 No one in
r
0
Access to service
lateral needed
Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S . 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 _ jl7;1 %i
- A,e-. t = YJ
— /V( f - r-'.-'6,, r,%
c
7
/(�t, if .4.
` ..
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
am
Date 7:77.�
1 �1 � ,' Time �,• (2/C3 ° C3oPm
Name
Disk #
Record Number
PID Number
House Number 72i ` 3` -Street Name
Alternative Mailing Address
c
gime
Oam
tam
OwnerlOccupant Signature
Phone [p
w L-1-47
Inspector Signature
For information. call 651:470.2788.
Compliance
1
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No foundation drain connection
No roof drain connection
Non -Compliance
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S. L at
Service Lateral Inspection Findings
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
11
Transition LP) ';'7,--)173
2
ire
(
4" to 6"Transition:
Length of Service: 7i Final Cleanout: //�;
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Notes
Number
Correctly
Discharged
Incorrectly
Total
Unknown
Sump pumps
' ;'
Foundation drains
Roof drains
��
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH