4791 Beacon Hill Rd - Inspection Formoh- • •
City ill Eaaan
Residential Sanitary Sewer Service
Compliance Inspection
Date )7 ; 1
,1 /
Name
)2,1
House Number.
4" to 6" Transition:
PID Number
No roof drain connection
Y Sump pit not connected to
//, sanitary sewer
\ri
0, Sump pump properly piped
0 No sump pump
White Copy: Propel ty Owner
Street Name
77
407,2> arn
• Time pm
Disk # LE
Alternative Mailing Addr ess
Owner/Occupant Signature
Compliance
0 No foundation drain connection
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
-1
am
•
• Pm
e-
2 1-7 7 ) )
Phone
"74
Inspector Signature ii\is )
• i )1/)
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
—-- /- ,...- -..----- i
(...L. i —/.--- ,-- , /-.:-.) ' ,----/ i 1.-•;2:77 cf- --- 7 - - - ?-
.---
,
i
...-, i •
/V i r';` e:::?
;,---/--. , ,
___.,.....1 / .
s - ,:..... . i----- a . :2 i f
Total
Sump pumps
4
\ i
Foundation drains
Roof drains
oh- • •
City ill Eaaan
Residential Sanitary Sewer Service
Compliance Inspection
Date )7 ; 1
,1 /
Name
)2,1
House Number.
4" to 6" Transition:
PID Number
No roof drain connection
Y Sump pit not connected to
//, sanitary sewer
\ri
0, Sump pump properly piped
0 No sump pump
White Copy: Propel ty Owner
Street Name
77
407,2> arn
• Time pm
Disk # LE
Alternative Mailing Addr ess
Owner/Occupant Signature
Compliance
0 No foundation drain connection
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
-1
am
•
• Pm
e-
2 1-7 7 ) )
Phone
"74
Inspector Signature ii\is )
• i )1/)
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH