812 Eagan Oaks Lane - Inspection Formr Z,
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
IIII
--
Foundation drains
MI
_
Roof drains
f )/
-.
City of kaii
Residential Sanitary Sewer Service
Compliance Inspection
•
Date !1 '1 QA I / Time ' •-moo o a p m m
Name Leb ( *' ' S Disk
PID Number.
House Number.
o pliance
I "' No foundation drain connection
No roof drain nection
d Sump plc not connect co
sanitary sewer
[9' Sump pump properly piped
0 No sump pump
Roots
r
✓� b ( ' '✓r -7
4" to 6" Transition: /1J
White Copy: Propel ty Owner
OwnerlOccupant Signature
0
Length of Service:
Yellow Copy: City of Eagan
I
G'
Record Number
i' Street Name f 7 i-,A / 4
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
g r!7c;7/ 9r - i's'`, •
Alternative Mailing Address Phone �
pgm
Time C s s5 q pm
/2 / -7/
/a✓��_ .__--
./lnsp o r Signature
/
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks ( Entered S.L at JJ W C49
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection /7 '
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH