3706 South Hills Dr - Inspection Form4111111j. C11.3 Eapo
Ftesidential Sanitary Sewer Service ,
Compliance Inspection
Date a47 76 / tr.)
Name ,
Disk #
PID Number
House Number Street Name /2/
Phone
//-
7
Alternative MailingAddress
)
Owner/Liu Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
r No roof drain connection
O 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 Copp Property Owner
Total
Time / .: / /-41 am
• - ,cr
Correctly Incorrectly
121
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
Length of Service:
Number Discharged
Unknown
Yellow Copy: City of Eagan
Record Number
Entered S L at
//I
Time
•1r Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
7
1 /, , -%
C 71:
Pink Copy: SEH