789 Elrene Ct - Inspection FormCity oftiataa
Residential Sanitary. Sewer Service
Compliance inspection
Dat
1 I�
Name •1 -i «'
PID Number
House Number
4" to 6 "Transition:
am
Time c - • / pm
r' I Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe .,� �
Transition /..e % 2
r
i - !Y 12
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
j am
Time _ b pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
For inforrriation ".call 651:470.2788
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
ol
_� � ; � �' Final Cleanout:
Notes
/ f
� _
,I w 3 !!
Pink Copy: SEH
Number.
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
!
•
Foundation drains
Roof drains
='
City oftiataa
Residential Sanitary. Sewer Service
Compliance inspection
Dat
1 I�
Name •1 -i «'
PID Number
House Number
4" to 6 "Transition:
am
Time c - • / pm
r' I Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe .,� �
Transition /..e % 2
r
i - !Y 12
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
j am
Time _ b pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
For inforrriation ".call 651:470.2788
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
ol
_� � ; � �' Final Cleanout:
Notes
/ f
� _
,I w 3 !!
Pink Copy: SEH