1454 Richards Ct - Inspection Form11 ! Cat of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date It
PID Number
am
Time ( pm
Name PVC Disk#
-
Record Number f /
ri Time
O am
•
• _ O pm
Alternative Mailing Address Phone �� - -_.� / ? 3 r
House Number Street Name
Compliance
o No foundation drain connection
No roof drain connection
d Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
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
Yellow Copy: City of Eagan
For information call 651.470.2788
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Ser vice :!
Obstruction
Unable to push past
feet
Entered 5 L at
inspector Signature )
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout?:-
Pink Copy: SEH
i� ✓' /4:4 pily.
Total
N ote S
---. j -' .
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
d1%
=' ,' •a
!
Foundation drains
Roof drains
°.
11 ! Cat of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date It
PID Number
am
Time ( pm
Name PVC Disk#
-
Record Number f /
ri Time
O am
•
• _ O pm
Alternative Mailing Address Phone �� - -_.� / ? 3 r
House Number Street Name
Compliance
o No foundation drain connection
No roof drain connection
d Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
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
Yellow Copy: City of Eagan
For information call 651.470.2788
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Ser vice :!
Obstruction
Unable to push past
feet
Entered 5 L at
inspector Signature )
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout?:-
Pink Copy: SEH
i� ✓' /4:4 pily.