3778 South Hills Ct - Inspection FormCity 'Ea aii
Residential Sanitary Sewer Service
Compliance lnspecti •n
Date =- '" 1 '/ /
Name !- • r_ ?
PID Number
House Number
Alternative Mailing Address
4" to b" Transition:
White Copy, Property Owner
Time
c }
1� "46isk# /7
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
/ Sump pump properly piped
O No sump pump
Service Lateral insp'ction Findings
Roots } i 4/- -
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 7(
7
7.
•� am
• pm
Street Name
Phone /- -- .__._7) t -' ✓ _ .
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
•
Length of Service:
Record Number
c l am
Time / • f Pm
inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Notes
—Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
_ � t
.�; r i
Yellow Copy: City of Eagan = Pink Copy: SEH
Total,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
e t'
rr /
/ L' ,i
,
? f
' ,
- -
Foundation drains
r
f
Roof drains
i
'
City 'Ea aii
Residential Sanitary Sewer Service
Compliance lnspecti •n
Date =- '" 1 '/ /
Name !- • r_ ?
PID Number
House Number
Alternative Mailing Address
4" to b" Transition:
White Copy, Property Owner
Time
c }
1� "46isk# /7
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
/ Sump pump properly piped
O No sump pump
Service Lateral insp'ction Findings
Roots } i 4/- -
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 7(
7
7.
•� am
• pm
Street Name
Phone /- -- .__._7) t -' ✓ _ .
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
•
Length of Service:
Record Number
c l am
Time / • f Pm
inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Notes
—Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
_ � t
.�; r i
Yellow Copy: City of Eagan = Pink Copy: SEH