857 Great Oaks Tr - Inspection FormsSump pumps
r
1
Foundation drains
„ T y
Roof drains
41110
Eity of Fain
Residential Sanitary Sewer Service
Compliance Inspection
Date 0.61 \ /
Name J
PID Number
1-louse Number
Alternative Mailing Address
i t ,
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:,...- ., „,
. .. L,.A.
OwnerYOccupant Signature
•
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
d Sump pit not connected to
sanitary sewer
, Sump pump properly piped
0 No surnp pump
Service Lateral inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection q / 7
Damaged Pipe ,
Transition// ,
4" to 6"Transition:
White Copy: Property Owner
Street Name
Total
•
Time CI 7
Disk #
r
Phone 2r2 r2
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
QAm
0 Pm
g
Number of stacks Entered S L at
=NM
Length of Service: /
Number Discharged
Cor rectl
I ncor rectly Unknown
Yellow Copy: City of Eagan
Record Number
am
rid Time 0 7 • 71
• 0 pm
Obstruction
Unable to push past
feet
Notes
4
• inspector Signature
i>1C7/(
Final Cleanopt:
leV 7-1 — -F7
L
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SE H