691 Brentwood Lane - Inspection FormCity pi t'ttpo
Resiclential Sanitary Sewer Service
Compliance Inspection
Date /j)_,,,/
Name / ‘-
,
PID Number
House Number
Alternative Mailing Address
(.7)
f7 -17k/
.4 , " 1
OlknerlOceupant Signature
Co 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
Transition
4" to 6"Transition:
White Copy: Property Owner
Time
•
Pm
Service Lateral Inspection Findings Number &stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Street Name
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
Yellow Copy: City of Eagan
Record Number
• .
Time • o pm
•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S Lat
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
; )
/ i
, „ _
..., ) —4-
Length of Service: )(3) /,--- - 1 -- Final Cleanout: '3, --..,, -.4., 3
- I
Pink Copp SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
• /
..../---
1 I
,e/
-. 1. /
.--/ t- ---.
Foundation drains
Roof drains ,
>,.
City pi t'ttpo
Resiclential Sanitary Sewer Service
Compliance Inspection
Date /j)_,,,/
Name / ‘-
,
PID Number
House Number
Alternative Mailing Address
(.7)
f7 -17k/
.4 , " 1
OlknerlOceupant Signature
Co 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
Transition
4" to 6"Transition:
White Copy: Property Owner
Time
•
Pm
Service Lateral Inspection Findings Number &stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Street Name
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
Yellow Copy: City of Eagan
Record Number
• .
Time • o pm
•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S Lat
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
; )
/ i
, „ _
..., ) —4-
Length of Service: )(3) /,--- - 1 -- Final Cleanout: '3, --..,, -.4., 3
- I
Pink Copp SEH