4613 Beacon Hill Ct - Inspection FormCity of Ea
Residential Sanitary Sewer Service
Compliance Inspection
`? /)
Date )
Name / '
s -
PID Number
House Number
1 Owner /Occupant Signature
Compliance
0 No foundation drain connection
W No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Propetty Owner
Time
Disk #
Street Name
am
o pm
DI-
Alternative Mailing Address
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 )'
f Time
O am
•
• O pm
Phone! } r �
Inspector Signature 2 » /)e,.' P fp
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered 5. 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
Total
Notes
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Number
Disch .
ged
Correctly
Incorrectly
Unknown
Sump pumps
I
Foundation drains
Roof drains
City of Ea
Residential Sanitary Sewer Service
Compliance Inspection
`? /)
Date )
Name / '
s -
PID Number
House Number
1 Owner /Occupant Signature
Compliance
0 No foundation drain connection
W No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Propetty Owner
Time
Disk #
Street Name
am
o pm
DI-
Alternative Mailing Address
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 )'
f Time
O am
•
• O pm
Phone! } r �
Inspector Signature 2 » /)e,.' P fp
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered 5. 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