4739 Beacon Hill Rd - Inspection FormCity Eapit
Residential Sanitary Sewer Service
Compliance inspection
Date1 � / Time — ��� am
Pm
Name r - i
Compliance
O No foundation drain connection
No roof drain connection
(� OwnerlOccupant Signature
f C Sump pit not connected to
\ sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Pa open ty Owner
Disk #
PID Number
House Number �-r'° ▪ t 1 Street Name
•
Alt hn tive MailingAddress Phone ( `:, J - J �. -� -! ,
Non - Compliance
Record Number
am
Time `� 7? :_ o pm
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral inspection
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Entered S at
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
C�
Length of Service: / Final Cleanout: � • v _ ■
t 1__
Yellow Copy: City of Eagan ,- f /Pink Copy: SEH
-7--
Number Discharged.
Notes
[ t // J . - / / : t.,
7- ''.- . � , 'C •
-f
E ---, ,o
f ; ,
Total
Correctly
Incorrectly
Unknown
Sump pumps
]
JE
Foundation drains
/
Roof drains
"
7 -1
City Eapit
Residential Sanitary Sewer Service
Compliance inspection
Date1 � / Time — ��� am
Pm
Name r - i
Compliance
O No foundation drain connection
No roof drain connection
(� OwnerlOccupant Signature
f C Sump pit not connected to
\ sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Pa open ty Owner
Disk #
PID Number
House Number �-r'° ▪ t 1 Street Name
•
Alt hn tive MailingAddress Phone ( `:, J - J �. -� -! ,
Non - Compliance
Record Number
am
Time `� 7? :_ o pm
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral inspection
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Entered S at
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
C�
Length of Service: / Final Cleanout: � • v _ ■
t 1__
Yellow Copy: City of Eagan ,- f /Pink Copy: SEH
-7--