868 Great Oaks Tr - Inspection FormCity of tiara
Residential Sanitary Sewer Service
Compliance Inspection
Date Lki Orb / I /0
Name , .YF, , (("2/ -' Disk #
PID Number
House Number 5r Street Name _ 9 t
Alternative MailingAddress
For information call 651.47 0.2788
Compliance
/19- No foundation drain connection
O No roof drain connection
0/ Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Property Owner
,? •Y'am
Time V • o pm
OvinerlOccupant Signature
Non - Compliance
O
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
J3
Record Number r /
• .,. am
Time • O pm
; M`,
1� Phon /
Obstruction
Unable to push past
feet
Number of stacks '.*� Entered S.L at .7 --
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection .
Damaged .Pipe
Transition ' jam, -f (r41 /( /C2am
Final Cleanout:2 t\✓i'x�
Pink Copy: SEH
Nunober.
Correctly
Discharged
Notes /3 / r 3 - , ! >l5 it s ,
t� //,-. / � ( 1 f
L7,---'(--1(...% _ ' ` _3 Li --= � :r. �-'
if:/1_1-C-662:-.,
i
Total
incorrectly
Unknown
Sump pumps
l : :
. _.e......__.._.._
Foundation drains
r
_
__
Roof drains
_
!_,
._ ___ .__. ._,
-
City of tiara
Residential Sanitary Sewer Service
Compliance Inspection
Date Lki Orb / I /0
Name , .YF, , (("2/ -' Disk #
PID Number
House Number 5r Street Name _ 9 t
Alternative MailingAddress
For information call 651.47 0.2788
Compliance
/19- No foundation drain connection
O No roof drain connection
0/ Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Property Owner
,? •Y'am
Time V • o pm
OvinerlOccupant Signature
Non - Compliance
O
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
J3
Record Number r /
• .,. am
Time • O pm
; M`,
1� Phon /
Obstruction
Unable to push past
feet
Number of stacks '.*� Entered S.L at .7 --
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection .
Damaged .Pipe
Transition ' jam, -f (r41 /( /C2am
Final Cleanout:2 t\✓i'x�
Pink Copy: SEH