861 Great Oaks Tr - Inspection FormCit of Eapp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
, 3
PID Number
House Number 56 (
Alternative M ailing Address
I
Compliance
0 No foundation drain connection
!d( No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6 "Transition:
White Copy: Property [hazer
Disk#
Owner /Occu Signature
•` o am
• pm
...-7;- r
For information call 651.470.2788
Street Name
2
Phone ( ' W � -13
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
Sag /Pipe Deflection
Damaged Pipe
!' 1
Transition
Number of stacks °/ Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Obstruction
Unable to push past
feet,
i
�..r o am
• l�
[Time • C( pm
Y r
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t U Cr
Final Cleanout: / I - ... ' (�
Pink Copy: SEH
Total
N otes
//
l
t
//( �'
-7- -1----1-
,..,___„/
1
_ r
// f /�.
j
= r
J
1 L)I
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
/t
Foundation drains
s --r-
Roof drains
-
Cit of Eapp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
, 3
PID Number
House Number 56 (
Alternative M ailing Address
I
Compliance
0 No foundation drain connection
!d( No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6 "Transition:
White Copy: Property [hazer
Disk#
Owner /Occu Signature
•` o am
• pm
...-7;- r
For information call 651.470.2788
Street Name
2
Phone ( ' W � -13
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
Sag /Pipe Deflection
Damaged Pipe
!' 1
Transition
Number of stacks °/ Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Obstruction
Unable to push past
feet,
i
�..r o am
• l�
[Time • C( pm
Y r
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t U Cr
Final Cleanout: / I - ... ' (�
Pink Copy: SEH