944 Trail Ct - Inspection Form1111 ot talao
Residential Sanitary Sewer Service
Compliance Inspection
r" , ")
l
Date) j 1,`
Name / ,„ Dlsk#
PID Number
,
House Number • , Street Name
Alternative Mailing Address
For information call 651.470.2788 ,
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
'Transition
Owner/Occupant Signature
4" to 6"Transition: 2
White Copy: Pr oper ty Owner
- 777 -3
Time
• Pm
Non
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
Length of Service:
c" "2 (7)
(7 ,„'
771_
Phone A
Yellow Copy: City of Eagan
Record Number
/-;
.r
me ?)am
Inspector Signature
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stack) Entered S L at
Roots
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I
- Cleanout: :
r •
Notes
/
■./'
1 •
e
h
Pink Copy: SEH
41:(
Total
Number.Discharged
Correctly
Incorrectly
Unknown
Sump pumps
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Foundation drains
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Roof drains
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1111 ot talao
Residential Sanitary Sewer Service
Compliance Inspection
r" , ")
l
Date) j 1,`
Name / ,„ Dlsk#
PID Number
,
House Number • , Street Name
Alternative Mailing Address
For information call 651.470.2788 ,
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
'Transition
Owner/Occupant Signature
4" to 6"Transition: 2
White Copy: Pr oper ty Owner
- 777 -3
Time
• Pm
Non
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
Length of Service:
c" "2 (7)
(7 ,„'
771_
Phone A
Yellow Copy: City of Eagan
Record Number
/-;
.r
me ?)am
Inspector Signature
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stack) Entered S L at
Roots
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I
- Cleanout: :
r •
Notes
/
■./'
1 •
e
h
Pink Copy: SEH
41:(