4363 Copper Pt - Inspection FormOily lli' Eapa
Residential Sanitary Sewer Service
Compliance Inspection
/' // • - /,a am
Date . ▪ / I Time _� i� 'a pm
(
Name 77 �! 1 Disk #
PID Number
House Number )(...2 Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Damaged Pipe
Transition 1 ' (V — - -)
4" to 6" Transition:
White Copy: Property Owner
Non- Compliance
O
O
O
O
O
Ser vice Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks i Entered S L at
7
Length of Service:
Record Number
Phone ( .
Notes
d am
Time lt_ / o pm
1
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
fj
�.�i - Final Cleanout: f i
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
i(
Foundation drains
Roof drains
:
Oily lli' Eapa
Residential Sanitary Sewer Service
Compliance Inspection
/' // • - /,a am
Date . ▪ / I Time _� i� 'a pm
(
Name 77 �! 1 Disk #
PID Number
House Number )(...2 Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Damaged Pipe
Transition 1 ' (V — - -)
4" to 6" Transition:
White Copy: Property Owner
Non- Compliance
O
O
O
O
O
Ser vice Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks i Entered S L at
7
Length of Service:
Record Number
Phone ( .
Notes
d am
Time lt_ / o pm
1
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
fj
�.�i - Final Cleanout: f i
Yellow Copy: City of Eagan Pink Copy: SEH