3412 Eagan Oaks Ct - Inspection FormCity of F4 a1
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ". y / Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition: I
White Copy: Proper ty Owner
1
Time
92 )4,2 Street Name
Owner /occupant Signature
Non - Compliance
1
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / /
Transition I t�i'1 `�..;✓l �� .���� , --�"
Record Number
Phone ▪ , 2
Time
Obstruction
am
L A / SI Pm
For information call 651:470.2788
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
O Flexible sump pump piping
Inspector Signature
Number of stacks Entered S.L.at f/1
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: / L Final Cleanout:, r
f / r
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
City of F4 a1
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ". y / Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition: I
White Copy: Proper ty Owner
1
Time
92 )4,2 Street Name
Owner /occupant Signature
Non - Compliance
1
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / /
Transition I t�i'1 `�..;✓l �� .���� , --�"
Record Number
Phone ▪ , 2
Time
Obstruction
am
L A / SI Pm
For information call 651:470.2788
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
O Flexible sump pump piping
Inspector Signature
Number of stacks Entered S.L.at f/1
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: / L Final Cleanout:, r
f / r
Yellow Copy: City of Eagan Pink Copy: SEH