1453 Richards Ct - Inspection Form4 11 ' City f Ea a
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date V. I ) / (
Name. B
Alternative Mailing Address
/7
7/;
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'
No sump pump
•
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
_.
Time
PID Number
r
O Signature
House Number 1 j Street Name
am
Pm
Dsk## I 1—
CL]
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
Record Number ? T
Time
Phone r
For information call 651.470.278$
Obstruction
Unable to push past
feet
O am
•
• O pm
Inspector Signature
r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH
Number
Correct!
Discharged
Notes
c_ -:
Total
Incorrectly
Unknown
Sump pumps
l_ !
i
j
Foundation drains
Roof drains
4 11 ' City f Ea a
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date V. I ) / (
Name. B
Alternative Mailing Address
/7
7/;
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'
No sump pump
•
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
_.
Time
PID Number
r
O Signature
House Number 1 j Street Name
am
Pm
Dsk## I 1—
CL]
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
Record Number ? T
Time
Phone r
For information call 651.470.278$
Obstruction
Unable to push past
feet
O am
•
• O pm
Inspector Signature
r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH