4729 Beacon Hill Cir - Inspection FormCity of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
} �3 ,/ f f
Date 1 '.1) ' 1 �
Name -17 777-1172.-f 9 A/5k #
4
PID Number
House Number ~ t Street Name r
Alternative Mailing Address Phone kn../
pa-
l/ .
4" to 6"Transition:
/
(caner /d cupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Proper ty Owner
Total
• am
Time • pm
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 Discharged
Correctly Incorrectly Unknown
Record Number
Time
O am
•
• O pm
Inspector Signature
for information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints_
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
f
Yellow Copy: City of`Eagan Pink Copy; SEH
- .�
I rte' ' 7t'��rl
Sump pumps.,
;_7
'
�,
p}
1
_ °` -?
f '
ry
Foundation drains
Roof drains
` --
City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
} �3 ,/ f f
Date 1 '.1) ' 1 �
Name -17 777-1172.-f 9 A/5k #
4
PID Number
House Number ~ t Street Name r
Alternative Mailing Address Phone kn../
pa-
l/ .
4" to 6"Transition:
/
(caner /d cupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Proper ty Owner
Total
• am
Time • pm
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 Discharged
Correctly Incorrectly Unknown
Record Number
Time
O am
•
• O pm
Inspector Signature
for information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints_
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
f
Yellow Copy: City of`Eagan Pink Copy; SEH