815 Trails End Rd - Inspection FormResidential Sanitary Sewer Service
Compliance inspection
Date t) S/ / I
Name C P UCK U )( CI Disk
PI Number
House Number
Alternative Mailing Address
•
Time ■
Street Name PR•r 1- w
Owner /Occupant Signature
For information call 651:470.2788
Compliance
17 No foundation drain connection
No roof drain connection
C ' Sump pit riot connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Ser vice Lateral Inspection Findings
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
r
White Copy: Property Owner
0
o am
g pm
Number of stacks Entered S. L at
r Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Notes
Phone
® O am
Time a - O pm
C
nsp ector Signature
Obstruction
Unable to push past
feet
3 k
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout:
1 5t7
}r3 rn -47< r:
(,1Nk960.- CAA
Pink Copy: SFH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
t.
Foundation drains
Roof drains
i�• r j
Residential Sanitary Sewer Service
Compliance inspection
Date t) S/ / I
Name C P UCK U )( CI Disk
PI Number
House Number
Alternative Mailing Address
•
Time ■
Street Name PR•r 1- w
Owner /Occupant Signature
For information call 651:470.2788
Compliance
17 No foundation drain connection
No roof drain connection
C ' Sump pit riot connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Ser vice Lateral Inspection Findings
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
r
White Copy: Property Owner
0
o am
g pm
Number of stacks Entered S. L at
r Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Notes
Phone
® O am
Time a - O pm
C
nsp ector Signature
Obstruction
Unable to push past
feet
3 k
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout:
1 5t7
}r3 rn -47< r:
(,1Nk960.- CAA
Pink Copy: SFH