4733 Beacon Hill Cir - Inspection FormNotes
.. . • . . ... . ...... •
Number Discharged .-, . . .
Total
Correctly
Incorrectly
Unknown
---;__—.-- -- )(2.:---
, -,.-, i'll .' 6 ,y71.1— , ' -) I j .- - ---,--='.: -'-- f : /--
-- ' e--• , ,_,.. ------- ,,----: C: r..- c?i '.-,../' ----',-- -
Sump pumps
4
—
- i - 7 1
•
7. ''''' —
-q --*'• •-•"- f
Foundation drains
, .
.. ___,
Roof drains
/ \
41111
City of ta] Residential Sani7tary Sewer Serrvice
Compliance Inspection
Q am
Date V /1 / Time / di pm
(
Name
PID Number
House Number
Alternative Mailing Address
Compliance
0 No foundation drain connection
'0 No roof drain connection
f 4
Sump pit not connected to
sanitary sewer
Sump pump properly piped
b No sump pump
4" to 6"Transition:
White Copy: hopeity Owner
'ID Street Name
/Y.
Owner/Occupant Signature
Service Lateral Inspection Findings
1
Length of Service:
Phone -
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
Yellow Copy: City of Eagan
Record Number
Time
Number of stacks Entered St at
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
- 7 -
0 am
•
• 0 pm
No Access
O No one in
For information call 651.470.2788
O Access to service
lateral needed
O inspection
r efused
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH