4758 Beacon Hill Rd - Inspection FormCily Eaau
Residential Sanitary Sewer Service
Compliance Inspection
3 r'
Date - 1 )(
Compliance
O No foundation drain connection
/(L
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
s
4" to b" Transition:
White Copy: Proper ty Owner
Time
Name . \(7i,!/ Disk
P1D Number
House Number 3Street Name
Alternative Mailing Address Phone !`i`) °r �
OwnerlOccupant Signature
For information call 651.470.2788
Non — Compliance
0
O
O
0
0
•
.9 am
• pm
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary:
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number. j
2 x�
Time
lnspeaor Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
7
• O am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SFH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
'., (,....,./
MI
Foundation drains
II.
Roof drains
illini
Cily Eaau
Residential Sanitary Sewer Service
Compliance Inspection
3 r'
Date - 1 )(
Compliance
O No foundation drain connection
/(L
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
s
4" to b" Transition:
White Copy: Proper ty Owner
Time
Name . \(7i,!/ Disk
P1D Number
House Number 3Street Name
Alternative Mailing Address Phone !`i`) °r �
OwnerlOccupant Signature
For information call 651.470.2788
Non — Compliance
0
O
O
0
0
•
.9 am
• pm
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary:
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number. j
2 x�
Time
lnspeaor Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
7
• O am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SFH