714 Brentwood Lane - Inspection Form4111111- City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 01/ tl '?/ /
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
r9�7 � 6
QLaraver-'Accu
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pi,
Transition / !'� A j 1 '' /C -
/ f
4" to b "Transition:
White Copy: Property Owner
• 6
Time(/' / • 0 O pm
Disk #
0
Street Name
2nt Signature
Length of Service:
Yellow Copy: City of Eagan
Q
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
Record Number
I
tam
Time v • r v o pm
ne
r
Inspector Signature
Obstruction
Unable to push past
feet
o .
Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 7 1 - . Entered S . at 2J%1//
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
' Total
Sump pumps
Foundation drains
---
— --
Roof drains
z`
4111111- City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 01/ tl '?/ /
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
r9�7 � 6
QLaraver-'Accu
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pi,
Transition / !'� A j 1 '' /C -
/ f
4" to b "Transition:
White Copy: Property Owner
• 6
Time(/' / • 0 O pm
Disk #
0
Street Name
2nt Signature
Length of Service:
Yellow Copy: City of Eagan
Q
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
Record Number
I
tam
Time v • r v o pm
ne
r
Inspector Signature
Obstruction
Unable to push past
feet
o .
Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 7 1 - . Entered S . at 2J%1//
Pink Copy: SEH