690 Brentwood Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Name
Date
P1D Number
House Number
Alternative — Railing Address —
i
Sump pumps
Foundation drains
Roof drains
ejj p'am
Ti pm
Disk #
OwnedOccu pant Signature
Street Name _
Yellow Copy: City of Eagan
White Copy: Proper ty Owner
Record Number
o am
Time • — Pm
i
Phone /� ' _. 9) 2
Inspector Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
Roots
Poor Pipe joints
Mineral Deposits
SagJPipe Deflection��_ --�
Damaged Pipe _
Transition
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
For information call 65f 470.2788
Notes
1
1 e r
Pink Copy: SEH