4718 Beacon Hill Rd - Inspection FormM ; -,
Foundation drains
Roof drains /
°
A llis . Cit of Eagan
an �
Residential Sanitary Sewer Service
Compliance Inspection
Date C�
Name_ ?
$
House Number L -
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
�• r
k _a Time i
Disk#
PID Number
P
, Street Name
Owner /Occupant Signature
Pm
For information call 651.470.2788
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 Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
-m
Yellow Copy: City of Eagan
Record Number.
7?
Phone
O am
•
Time • O pm
°.� •
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total C
Notes
j 3 �
� j
j =
=�i,2 l
I
Number D
Discharged
Correctly I
Incorrectly U
Unknown I
Sump pumps "
' e
e J
J.J 'Al T
T e
A llis . Cit of Eagan
an �
Residential Sanitary Sewer Service
Compliance Inspection
Date C�
Name_ ?
$
House Number L -
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
�• r
k _a Time i
Disk#
PID Number
P
, Street Name
Owner /Occupant Signature
Pm
For information call 651.470.2788
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 Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
-m
Yellow Copy: City of Eagan
Record Number.
7?
Phone
O am
•
Time • O pm
°.� •
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH