829 Great Oaks Tr - Inspection Formr` City of Eapri
Residential Sanitary Sewer Service
Compliance Inspection
Date (rY/ /Z l` /
Name 'R �( '�.�9
PfD Number
House Number
Aternative Mailing Address
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition l`
4" to 6 "Transition:
7
A 1( K, eA
Compliance
O No foundation drain connection
cr No roof drain connection
° O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'3 No sump pump
i
.eAm
Time ! • (�C O p
Ser vice lateral Inspection Findings
Roots
White Copy: Property Owner
F G J' 1 �a
-*-• M 3' '
Disk #
()
Street Name
OwrlOccupant Signature
Recor d Number
Phoney r 1 • '1 ;1 / -'r -
.'
For information call 651:470.2788
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
Number of stacks
Length of Service: -.
Yellow Copy: City of Eagan
Entered S. L at / r
.'� am
Time - . • 0 p
Insp ?odor Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Notes v� f. ,,1 ? (---A,0 •'1, ..) ny''t°
� o J jl
! '' . 6/47:"
9 % r I . _)r T,,. ,
!slumber.
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
s
°.
Foundation drains
*'
Roof drains
. °
_ . .,_
r` City of Eapri
Residential Sanitary Sewer Service
Compliance Inspection
Date (rY/ /Z l` /
Name 'R �( '�.�9
PfD Number
House Number
Aternative Mailing Address
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition l`
4" to 6 "Transition:
7
A 1( K, eA
Compliance
O No foundation drain connection
cr No roof drain connection
° O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'3 No sump pump
i
.eAm
Time ! • (�C O p
Ser vice lateral Inspection Findings
Roots
White Copy: Property Owner
F G J' 1 �a
-*-• M 3' '
Disk #
()
Street Name
OwrlOccupant Signature
Recor d Number
Phoney r 1 • '1 ;1 / -'r -
.'
For information call 651:470.2788
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
Number of stacks
Length of Service: -.
Yellow Copy: City of Eagan
Entered S. L at / r
.'� am
Time - . • 0 p
Insp ?odor Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH