3707 South Hills Dr - Inspection FormCity of Eapll
Residential Sanitary Sewer Service
Compliance Inspection
Date �=;°:' 1 )a/ )
House Number
i
PID Number
Alternative MailingAddress
Dwnerl Qccu
J
Time
Street Name
r
A/
a - gnature
For information call 65 1.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 0, /9
4" to 6 "Transition:
White Copy: Pr operty Owner
Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Record Number
ime
Phone ,' -r .
Obstruction
Unable to push past
feet
1
Entered S L.at
Length of Service: f
Notes
•
• �.
Inspector Signature
O. am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
inaf Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
, `1)
f ,
Foundation drains
l .✓
Roof drains
City of Eapll
Residential Sanitary Sewer Service
Compliance Inspection
Date �=;°:' 1 )a/ )
House Number
i
PID Number
Alternative MailingAddress
Dwnerl Qccu
J
Time
Street Name
r
A/
a - gnature
For information call 65 1.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 0, /9
4" to 6 "Transition:
White Copy: Pr operty Owner
Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Record Number
ime
Phone ,' -r .
Obstruction
Unable to push past
feet
1
Entered S L.at
Length of Service: f
Notes
•
• �.
Inspector Signature
O. am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
inaf Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH