682 Brentwood Lane - Inspection FormsCity a(ta p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date O 04/ 1 s
Name
7;7 4 Disk #
PID Number
House Number
Roots
C
4 ' 7
i .
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
4" to 6" Transition:
White Copy: Property Owner
Time e 7:0 p 7m
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Poor Pipe Joints
l'� R
Mineral Deposits ! {
Sag /Pipe Deflection
Damaged Pipe /
Transition
Non - Compliance
0
0
0
0
0
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Ks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone 7 -
/
• % lnspectur Signature
Obstruction
Unable to push past
feet
7, 1 7
f4
Final Cleanout:
• o am
• o Pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S L at
0
Pink Copy: SEH
Total
Notes ;a 1,. l _,
NO � O _ ,f `7
? ,
-~
A4 i ' *--'
A(" . f
'
3
p c;: r-
Num
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City a(ta p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date O 04/ 1 s
Name
7;7 4 Disk #
PID Number
House Number
Roots
C
4 ' 7
i .
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
4" to 6" Transition:
White Copy: Property Owner
Time e 7:0 p 7m
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Poor Pipe Joints
l'� R
Mineral Deposits ! {
Sag /Pipe Deflection
Damaged Pipe /
Transition
Non - Compliance
0
0
0
0
0
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Ks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone 7 -
/
• % lnspectur Signature
Obstruction
Unable to push past
feet
7, 1 7
f4
Final Cleanout:
• o am
• o Pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S L at
0
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 4 - / �/ Time
Name ., Disk#
PID Number
2
House Number {!: Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
O No sump pump
Service e l,teral inspection Findings
Roots .fti
4" to 6" Transition:
White Copy: Property Owner
7) 1`h,
•
•
am
O pm
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition :-
Yellow Copy: City of Eagan
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Recor Number
Time
Phone / ! c 72-c
Inspector Signature
For information call 651,4701788
Obstruction
Unable to push past
feet
Number of stacks _ I Entered S . at
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
}
r ;
i;
ft Final Cleanoutr,
Pink Copy: SEH
Number,
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
,✓
.7451 , „
. 7,_,,_
-- V;
;�
Foundation drains
!y
Ls
Roof drains
1
G -- )5/
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 4 - / �/ Time
Name ., Disk#
PID Number
2
House Number {!: Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
O No sump pump
Service e l,teral inspection Findings
Roots .fti
4" to 6" Transition:
White Copy: Property Owner
7) 1`h,
•
•
am
O pm
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition :-
Yellow Copy: City of Eagan
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Recor Number
Time
Phone / ! c 72-c
Inspector Signature
For information call 651,4701788
Obstruction
Unable to push past
feet
Number of stacks _ I Entered S . at
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
}
r ;
i;
ft Final Cleanoutr,
Pink Copy: SEH