3426 Eagan Oaks Ct - Inspection Form11110- CO f E,a as
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ' I / o
Name Y,. S` ± % rf > ,y' Disk #10
PID Number
House Number W Street Name
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Ptopeity Ownei
• `am
Time f1 .> • CID O pm
. -a
J
Owner /Occupant Signature
g
Non - Compliance
O
O
O
O
0
Alternative Mailing Address
'. fir./ c 2,4 / r e" .1 ; 1"---
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
c2
Record Number
• ! �° jam
Time • 4.-, O pm
Phone / iJ. t)
Obstruction
Unable to push past
feet.
7
,Inspector Signature
For information call 651.470.2788
Entered S..L.at ._fi
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes „� t ' r ' ; —' �'� "1.—c /%ls- ^,
/ / ^ f'(,/I „ ( „4
-. o / � f
/ J C.1, ✓,n,i!!
I.- Z,v f �.
Total
Sum pumps
P
Foundation drains
Roof drains
®MI
11110- CO f E,a as
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ' I / o
Name Y,. S` ± % rf > ,y' Disk #10
PID Number
House Number W Street Name
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Ptopeity Ownei
• `am
Time f1 .> • CID O pm
. -a
J
Owner /Occupant Signature
g
Non - Compliance
O
O
O
O
0
Alternative Mailing Address
'. fir./ c 2,4 / r e" .1 ; 1"---
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
c2
Record Number
• ! �° jam
Time • 4.-, O pm
Phone / iJ. t)
Obstruction
Unable to push past
feet.
7
,Inspector Signature
For information call 651.470.2788
Entered S..L.at ._fi
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH