1424 Rebecca Lane - Inspection Form 14 11 _ 1111 ' city fir Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date CV/ ' / /6
Name jo,,' 'v M 244 YC 'Ssk #
PID Number
House Number 7.2 7
Compliance
0 No foundation drain connection
/i 4e No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
White Copy: Property Owner
Time
3C 0 am
Owner /Occupant Signature
0
_L
Street Name
Record Number
0
Time
Alternative Mailing Address Phone (/) O ✓ cl
/ : 5 oam
: Q�Pm
inspector Signature
For information call 651.470.2788
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
Number of staSJcs
Air A Length of Service: 7/,`r
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at fr 1 /44 7;- 4 r /z4
Damaged Pipe /
Transition L / r.�, � / e ‹- ,i ,Kr
/
Final Cleanout: r°
7 'J
Pink Copy: SEH
Total
N otes.-- a #,.i.� r ,.� ✓..
u /
---
'� ... r . .
,---o..1.,,.---6-r.
--)-
)
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
;,,,
Foundation drains
------„____.
:
r-
--...---
-1 jA
Roof drains
r
•
,
..__�__ -
-._ _. ____
__�—
4 11 _ 1111 ' city fir Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date CV/ ' / /6
Name jo,,' 'v M 244 YC 'Ssk #
PID Number
House Number 7.2 7
Compliance
0 No foundation drain connection
/i 4e No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
White Copy: Property Owner
Time
3C 0 am
Owner /Occupant Signature
0
_L
Street Name
Record Number
0
Time
Alternative Mailing Address Phone (/) O ✓ cl
/ : 5 oam
: Q�Pm
inspector Signature
For information call 651.470.2788
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
Number of staSJcs
Air A Length of Service: 7/,`r
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at fr 1 /44 7;- 4 r /z4
Damaged Pipe /
Transition L / r.�, � / e ‹- ,i ,Kr
/
Final Cleanout: r°
7 'J
Pink Copy: SEH