3478 Trails End Rd - Inspection Formof a .
Residential Sanitary Sewer Se l ce
Compliance nce Inspection
Date en / /) O
Name
PID Number
House Number
Alternate l Mailing Address
er /occupant Signature
Compliance
No sump pump
Transition
White Copy: Property Owner
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Time 9 : 0 pm
Disk #
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
9 3
Street Name
Yellow Copy: City of Eagan
Record Number
Obstruction
4" to 6" Transition: gi . � � .� Length of Service: 17
Time
rte_.
Phone
Unable to push past
feet
Inspector Signature
O am
O pm
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Number of stacks 02 Entered S.L. at ,Le 4- S
2?. ID (0(., Co gL, 9s; /0) /07 ! /I } t5
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
:.)c C-= 0- -S 0S-q -
s x
Number
Discharged
Correctly
Incorrectly Unknown
Sump Pumps
=MI
Foundation Drains
MI
Roof Brains
L
MI -
of a .
Residential Sanitary Sewer Se l ce
Compliance nce Inspection
Date en / /) O
Name
PID Number
House Number
Alternate l Mailing Address
er /occupant Signature
Compliance
No sump pump
Transition
White Copy: Property Owner
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Time 9 : 0 pm
Disk #
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
9 3
Street Name
Yellow Copy: City of Eagan
Record Number
Obstruction
4" to 6" Transition: gi . � � .� Length of Service: 17
Time
rte_.
Phone
Unable to push past
feet
Inspector Signature
O am
O pm
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Number of stacks 02 Entered S.L. at ,Le 4- S
2?. ID (0(., Co gL, 9s; /0) /07 ! /I } t5
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
City of Ea a n
Residential Sanitary Sewer Service
Compliance Inspection
r
Date I,2gJ )
Name ) r1 17 t : Disk # SIMIE
PID Number
House Number Street Name
Alternative Mailing Address
4" to 6 "Transition:
White Copy: Property Owner
•
Time 7 •
Owner/Occupant Signature
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
0 pm
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
Record Number
)tes
•
Time •
Phone 1
r,: a
lnspecsor Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S,L,at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
0 a
O pm
No Access
O No one in
Access to service
lateral needel,,,
O Insphci' l
refused
i = 3.. 5`` '7e -e.�_ " mi / .: c €
.// 2 Y '- ifkl- f i •—• 4 ;: =i. 4_-= f
7
1
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City of Ea a n
Residential Sanitary Sewer Service
Compliance Inspection
r
Date I,2gJ )
Name ) r1 17 t : Disk # SIMIE
PID Number
House Number Street Name
Alternative Mailing Address
4" to 6 "Transition:
White Copy: Property Owner
•
Time 7 •
Owner/Occupant Signature
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
0 pm
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
Record Number
)tes
•
Time •
Phone 1
r,: a
lnspecsor Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S,L,at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
0 a
O pm
No Access
O No one in
Access to service
lateral needel,,,
O Insphci' l
refused
i = 3.. 5`` '7e -e.�_ " mi / .: c €
.// 2 Y '- ifkl- f i •—• 4 ;: =i. 4_-= f
7
1
Yellow Copy: City of Eagan Pink Copy: SEH