4607 Beacon Hill Ct - Inspection FormCitj of Ea Il
Residential Sanitary Sewer Service
Compliance Inspection
Date
?/ / 1 ) Time ) •
Name 7 f -
PID Number
House Number a / Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
C] Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
e
Disk #
Owner /Occupant Signature
0 am
/p 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 of stacks
Length of Service:
•
Yellow Copy: City of Eagan
Record Number
Time
o am
•
• O pm
Phone i'.. r -
•
inspector Signature
Obstruction
Unable to push past
feet
7.
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor PipeJoints,
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown_::
Notes
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. 1 . . ir _ t
Total
Sump pumps
Foundation drains
Roof drains
MOM
Citj of Ea Il
Residential Sanitary Sewer Service
Compliance Inspection
Date
?/ / 1 ) Time ) •
Name 7 f -
PID Number
House Number a / Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
C] Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
e
Disk #
Owner /Occupant Signature
0 am
/p 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 of stacks
Length of Service:
•
Yellow Copy: City of Eagan
Record Number
Time
o am
•
• O pm
Phone i'.. r -
•
inspector Signature
Obstruction
Unable to push past
feet
7.
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor PipeJoints,
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH