3467 Trails End Rd - Inspection FormCity of E4ai1
Residential Sanitary Sewer Service
Compliance Inspection
Date.
Name
L j.
1
PID Number
House Number - ( Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Total
J;Oam
Time fr' ; • o pm
Disk #
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
Number of stacks _ I Entered S L at
•
Correctly
Incorrectly
Length of Service:
Number Discharged
Unknown
Record Number
Notes
o ff j' / , ' ?:.A.. r I i <
Time
Obstruction
Unable to push past
feet
• 'O am
O pm
Inspector Signature
Phone -�. r
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Yellow Copy: City of Eagan Pink Copy: SEH