4785 Eriks Blvd - Inspection FormSump pumps
_—
Foundation drains
Roof drains
,
411 11115" Residential Sanitary Sewer Service
sz City al Eapo Compliance Inspection
Date-4 76
Name V Disk #
HD Number
House Number
_r.,.
- 7 , 1 :•----
I 14'7. 4/ ,,-.7
,... ,
; OwnerlOccupont Signature
Compliance
01 No foundation drain connection
kt No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Pr oper ty Owner
• , , era m
Time
• o pm
Street Name
r
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
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition 7 74-cf-V e'r
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
lime c9 7 am
Alternative Mailing Address Phone
Inspector Signature
For information call 651.470.2788
--
Length of Service: C" - Final Cieanout:
r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks I Entered S.L.at _
Notes
re:
- L
PCfl '
Pink Copy: SEH