4706 Beacon Hill Rd - Inspection FormNotes
Number
Correctly
Discharged
„ -' ; . - ”'
' , p ct.- (f , t.:.--' �'-
I
mf 31 ': %7 • C" _
Total
Incorrectly
Unknown
Sump pumps
f
y ) i / ,
i
•
,�_
Foundation drains
Roof drains
/
J
City olliaR,aa :
Residential Sanitary Sewer Service
Compliance Inspection
l
Date .TI e 7 1
Name Disk # El]
-
PID Number
House Number Street Name
Alternative Mailing Address
/ ! f
Owr i cupant Sig'ature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
• ! am
Time Pm
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
[17
Length of Service:
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
Poor Pipe joints
Yellow Copy: City of Eagan
Record Number
I
Phone (./.7-4-)../ .- / - fi r<:2
Inspector Signature
For information calll 651;470.2788
Obstruction
Unable to push past
feet
Roots
o am
•
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S E. at
Final Cleanout:
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
)(7,„"))/. ;Y i •
Date _ 1 � Time l •
House Number
Name ` - f - l Disk # FF1
PID Number
—.r . - -- )Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
✓ 0 am
0 pm
-PH
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
O am
•
• F O pm
Final Cleanout:
_
Inspector` Signature
For information call 651.470.2788
No Access
No one ini,4°
�, //f f�
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Nuruber
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
)(7,„"))/. ;Y i •
Date _ 1 � Time l •
House Number
Name ` - f - l Disk # FF1
PID Number
—.r . - -- )Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
✓ 0 am
0 pm
-PH
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
O am
•
• F O pm
Final Cleanout:
_
Inspector` Signature
For information call 651.470.2788
No Access
No one ini,4°
�, //f f�
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH