699 Brentwood Lane - Inspection Form-- �° ✓I
Number
Correctly
Discharged
Incorrectly Unknown
Notes j L /ii 0j/ ,�, 7
% AT/W6 c / t.'
- 0/ J` ,-, / JJf / Cam ,
- (-
j
6i17411/6- rte:' %.a - 3:s7 �'- ,..,,.-
/ 4 t
Total
Sump pumps
Foundation drains'
Roof drains
---
__
city of Ealaa
Residential Sanitary Sewer Service
Compliance Inspection
Date / /rn / /2
Name 1 f s" ,f /14'
PID Number.
House Number
Alternative Mailing Address
i 14
Compliance
O No foundation drain connection
1 ,0 No roof drain connection
le Sump pic 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 I
r
Transition I 4 ( /r
/v
4" to 6" Transition:
White Copy: Property Owner
Time /V • O C/ p pm
Disk #
Ownerl0ccupant Signature
6'
J- L17 -[�J
Street Name g �� l ✓ �w' f �
For information call 651
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:
Yellow Copy: City of Eagan
Record Number
Phone
lnspecdr Signature
EnteredSLat Akelv ,fy
Obstruction No Access
Unable to push past 0 No one in
feet
Time
4
'0 am
o pm
O Access to seryice
lateral needed'
O Inspection
refused
Final Cleanout: VA i to
Pink Copy: SEH