674 Brentwood Lane - Inspection FormResidential Sanitary Sewer Service
Compliance inspection
Date,- )
-
Name
am
Time, • pm
PID Number
House Number 7-'7.-) /
Alternative
Compliance
No foundation drain connection
No roof drain connection
/ V
9 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Transition
4" to 6" Transition:
White Copy: Property Ownei
Street Name
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Length of Service: <
Yellow Copy: City of Eagan.
Record Number
Phone /-
MailitigAddress -
4 ,2 .,--
/
OcAf Mgnature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
1
final Cleanout:
t otes
, /
)
Inspector Signature
o
• am
• pm
O Inspection
refused
No Access
O No one in
O Access to service
lateral needed
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
.,..-
%
2.
"
--'
I ,---;----:
\)
Foundation drains
Roof drains
... .
Residential Sanitary Sewer Service
Compliance inspection
Date,- )
-
Name
am
Time, • pm
PID Number
House Number 7-'7.-) /
Alternative
Compliance
No foundation drain connection
No roof drain connection
/ V
9 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Transition
4" to 6" Transition:
White Copy: Property Ownei
Street Name
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Length of Service: <
Yellow Copy: City of Eagan.
Record Number
Phone /-
MailitigAddress -
4 ,2 .,--
/
OcAf Mgnature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
1
final Cleanout:
t otes
, /
)
Inspector Signature
o
• am
• pm
O Inspection
refused
No Access
O No one in
O Access to service
lateral needed
Pink Copy: SEH