870 Great Oaks Tr - Inspection FormCity of Eagan
Residential Sanitary Sewer Service
Compliance inspection
Date
Name )i J
/
PID Number
4" to b "Transition:
Alternative Mailing Address
White Copy: Property Owner
Time
House Number. /f�
OrerlOccup Signature
o pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
• sanitary sewer
O Sump pump properly piped
O No sump pump
C-
isk #
Street Name
of:20 0 am
O , pm
1
Phone — `,)
For information call 65
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition - 17/ ✓J �.T
Length of Service:
Yellow Copy: City of Eagan
Record Number !
O am
Time •
Inspector Signature
Obstruction
Unable to push past
feet
J y 1
Final Cleanout:
pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Service Lateral Inspection Findings Number of stacks �1 Entered S L, at
Pink Copy: SEH
!_�
No Notes e
) /
F , ,,,/14
T'! i' "
/
y !
7 ,
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sum urns
� -
X 11 '
.
(
Foundation drains
Roof drains
J '4— II
-i
City of Eagan
Residential Sanitary Sewer Service
Compliance inspection
Date
Name )i J
/
PID Number
4" to b "Transition:
Alternative Mailing Address
White Copy: Property Owner
Time
House Number. /f�
OrerlOccup Signature
o pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
• sanitary sewer
O Sump pump properly piped
O No sump pump
C-
isk #
Street Name
of:20 0 am
O , pm
1
Phone — `,)
For information call 65
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition - 17/ ✓J �.T
Length of Service:
Yellow Copy: City of Eagan
Record Number !
O am
Time •
Inspector Signature
Obstruction
Unable to push past
feet
J y 1
Final Cleanout:
pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Service Lateral Inspection Findings Number of stacks �1 Entered S L, at
Pink Copy: SEH
!_�