4867 Knottingham Cir - Inspection FormResidential Sanitary Sewer Service
a
Compliance Inspection
I o
Date / /
Name
PID Number
House Number
1cIternate Mailing Address
f
/VAT ic
('T
Time
Owner /OccuparjSignature
Disk #
o am
o pm
Street Name
Record Number
Time
Phone
Inspector Signature
C i r
O am
O pm
(f)c -231-C,S3)
Cnpliance
` � No foundation drain connection
Ot% No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks
Length of Service:
Entered S L at
) ;T7 4
Of
Final Cleanout: Ya.
For Information call 651.47 0.2788
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
9
Foundation Drains
C
Roof Drains
Residential Sanitary Sewer Service
a
Compliance Inspection
I o
Date / /
Name
PID Number
House Number
1cIternate Mailing Address
f
/VAT ic
('T
Time
Owner /OccuparjSignature
Disk #
o am
o pm
Street Name
Record Number
Time
Phone
Inspector Signature
C i r
O am
O pm
(f)c -231-C,S3)
Cnpliance
` � No foundation drain connection
Ot% No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks
Length of Service:
Entered S L at
) ;T7 4
Of
Final Cleanout: Ya.
For Information call 651.47 0.2788
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551