3605 Great Oaks Cir - Inspection Form41111111 CitIol'EaPo
Residential Sanitary Sewer Service
Compliance inspection
. N.,
Date 0 / IV/ IV Time • 0 0 am
• Y\Pm
Name
kt (AKy1 Disk
PID Number
House Number
3b05
Alternative Mailing Address
Compliance
X No foundation drain connection
)1p' No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
0
Street Name
,-
Ownerlbccupant Signature
-.[}1.] N.91
CE AT DA )45
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
White Copy: Pi opeity Owner
Record Number
0 am
Time o prn
CA RC LF
Phone 6 / 2 - - 38 1 i — 7P1 1
inspector Sig re
For information call 651470.2788
Transition
I
4" to 6" Tr ansition: 9 \.) - 71 2 F co,
\ 22, Length of Ser vice: 122 f1.1-
Obstruction
Unable to push past
feet
Entered S L at r
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
'10
CE
11 —
Final Cleanout:
Lk) 0 KS Goo y)
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
incorrectly
Unknown
Total
Sump pumps
)
Foundation drains
Roof drains
–',
(. 1
41111111 CitIol'EaPo
Residential Sanitary Sewer Service
Compliance inspection
. N.,
Date 0 / IV/ IV Time • 0 0 am
• Y\Pm
Name
kt (AKy1 Disk
PID Number
House Number
3b05
Alternative Mailing Address
Compliance
X No foundation drain connection
)1p' No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
0
Street Name
,-
Ownerlbccupant Signature
-.[}1.] N.91
CE AT DA )45
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
White Copy: Pi opeity Owner
Record Number
0 am
Time o prn
CA RC LF
Phone 6 / 2 - - 38 1 i — 7P1 1
inspector Sig re
For information call 651470.2788
Transition
I
4" to 6" Tr ansition: 9 \.) - 71 2 F co,
\ 22, Length of Ser vice: 122 f1.1-
Obstruction
Unable to push past
feet
Entered S L at r
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
'10
CE
11 —
Final Cleanout:
Lk) 0 KS Goo y)
Yellow Copy: City of Eagan Pink Copy: SEH