1465 Richards Ct - Inspection Form4 111- City or Ea an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
2. ) )/)
Date (/1 ,1 -t
Name
PID Number
House Number ) .j) Street Name
Alternative Mailing Address
/.'
For information call 651.470.2788
Compliance Non - Compliance
0 No foundation drain connection 0 Clear water connections to
\ sanitary sewer
No roof drain connection
I Sump pit not connected to
sanitary sewer
Sump pump properly piped
`O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S. ,L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
i /11,-_ 00 am
Time • pm
/
OwnerlOccupant Signature
- L1] -LE
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
!' r-- /' s
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• Opm
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
4 111- City or Ea an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
2. ) )/)
Date (/1 ,1 -t
Name
PID Number
House Number ) .j) Street Name
Alternative Mailing Address
/.'
For information call 651.470.2788
Compliance Non - Compliance
0 No foundation drain connection 0 Clear water connections to
\ sanitary sewer
No roof drain connection
I Sump pit not connected to
sanitary sewer
Sump pump properly piped
`O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S. ,L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
i /11,-_ 00 am
Time • pm
/
OwnerlOccupant Signature
- L1] -LE
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
!' r-- /' s
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• Opm
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH