4849 Sheffield Cir - Inspection FormCit y ap al to
Residential Sanitary Sewer Service
Compliance Inspection
i j
Date if // 1 f
Name „ t /
PID Number
House Number
Alternative Mailing Address
( w
Owner /0 Signature
Compliance
O No foundation drain connection
� r No roof drain connection
Sump pit not connected to
sanitary sewer
r•
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
.7i)
}: i am
Time me .J(1• , pm
r , / Street Name
isk #
11 Time
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number °' ;r /
inspector Signature
Obstruction
Unable to push past
feet
Entered S.L. at
0 am
•
• o pm
"`�� Phone
For information call 651.470.2788
Final Cleanout:
O Inspection
refused
,Notes
No Access
O No one in
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH
Nun•ber
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
'1
N r l
Foundation drains
Roof drains.
3
.- - ;�
'
Cit y ap al to
Residential Sanitary Sewer Service
Compliance Inspection
i j
Date if // 1 f
Name „ t /
PID Number
House Number
Alternative Mailing Address
( w
Owner /0 Signature
Compliance
O No foundation drain connection
� r No roof drain connection
Sump pit not connected to
sanitary sewer
r•
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
.7i)
}: i am
Time me .J(1• , pm
r , / Street Name
isk #
11 Time
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number °' ;r /
inspector Signature
Obstruction
Unable to push past
feet
Entered S.L. at
0 am
•
• o pm
"`�� Phone
For information call 651.470.2788
Final Cleanout:
O Inspection
refused
,Notes
No Access
O No one in
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH