4788 Beacon Hill Rd - Inspection Form4. 1111. City f Ea
Y � il
Residential Sanitary Sewer Service
Compliance Inspection
Date ':. /1'i
Name )
No roof drain connection
Q Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
PID Number
House Number ' ') Street Name
y lisk
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
0 No foundation drain connection
Service Lateral Inspection Findings
f .' 9) am
Time .... - • 0 pm
MINIM
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer'
O Service ral 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
ri
Time
Phone °')
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
o am
O pm
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
1 t
�• `.- , �
Total
Sump pumps
i ,
.'
i
Foundation drains
r ,'¢
Roof drains
1.
4. 1111. City f Ea
Y � il
Residential Sanitary Sewer Service
Compliance Inspection
Date ':. /1'i
Name )
No roof drain connection
Q Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
PID Number
House Number ' ') Street Name
y lisk
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
0 No foundation drain connection
Service Lateral Inspection Findings
f .' 9) am
Time .... - • 0 pm
MINIM
Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer'
O Service ral 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
ri
Time
Phone °')
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
o am
O pm
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH