797 Elrene Ct - Inspection FormSump pumps
_.— ... _____
. ,____
Foundation drains
Roof drains
_____ ..
r City of Palap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
, /o
PID Number
House Number s c i 7 Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651:470.2788
Compliance
0 No foundation drain connection
No roof drain connection
n
i &''Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
�>N sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1
White Copy: Proper ty Owner
tuj
Total
Time
Disk #
tlf
• r O am
g ' • - Pm
i
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
Number of stacks : i �ntered S L. at
"
Length of Service:
Number Discharged
Correctly incorrectly Unknown
1
o :rr ) I). ``f' - q7/
Yellow Copy: City of Eagan
Record Number .
ln5$ector Signature
2
Obstruction
Unable to push past
feet.
▪ r
0 am
Time / - • *pm
J
r
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes 1
'S f I rk /-t-,
a r
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date Ag/
Name f
PID Number
House Number
Alternative Mailing Address
For information cal[ 651
.470.2788
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 Number of stacks
Roots
Poor Pipe Joints �}
ou
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
72'7
White Copy: Property Owner
Time
Disk #
Street Name
Owner /Occupant Signature
tkrkp p am
•_ ,pm
-m -m
��
Non - Compliance
O Clear water coterie
sanitary sewer.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
tions to
Atiod
7
Entered S . at
Damaged Pipe
Transition f ( /- AL//,W A
Length of Service:
Yellow Copy: City of Eagan
Record Number
0 am
•
Time • o pm
Obstruction
-- - - Unable to push past
feet
( 7 ) - .6 r�
inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
b
$j
r ✓ f
,'
!_ P 1
t " -'° �
/-b`
jf 1
/
7
;yet/
Number
Discharged
g
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date Ag/
Name f
PID Number
House Number
Alternative Mailing Address
For information cal[ 651
.470.2788
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 Number of stacks
Roots
Poor Pipe Joints �}
ou
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
72'7
White Copy: Property Owner
Time
Disk #
Street Name
Owner /Occupant Signature
tkrkp p am
•_ ,pm
-m -m
��
Non - Compliance
O Clear water coterie
sanitary sewer.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
tions to
Atiod
7
Entered S . at
Damaged Pipe
Transition f ( /- AL//,W A
Length of Service:
Yellow Copy: City of Eagan
Record Number
0 am
•
Time • o pm
Obstruction
-- - - Unable to push past
feet
( 7 ) - .6 r�
inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date 4r/ r ' 1 /c2 Time
Name : 4 .% (F/4. Disk
PID Number
House Number. 77 7 Street Name
Alternative Mailing Address
For information calf 651.470.2788
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 Number of stacks
Roots
Poor Pipe Joints ! /j,9, / / ., } �r A
Mineral Deposit
Damaged Pipe
Sag /Pipe Deflection
Transition
4" to 6 "Transition:
White Copy: Propelty Owner
Owner /Occupant Signature
o am
Pm
r - i- 1-1 i
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
Time
ObsJction
Unable to push past
feet
Entered S.i* at N.
/V 0.( fr` l rvc'
Final Cleanout:
p am
•
• O pm
P &ne ( '
f
rf-64 �' a
- Inspector Signature
E .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i
1
l
1' � Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date 4r/ r ' 1 /c2 Time
Name : 4 .% (F/4. Disk
PID Number
House Number. 77 7 Street Name
Alternative Mailing Address
For information calf 651.470.2788
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 Number of stacks
Roots
Poor Pipe Joints ! /j,9, / / ., } �r A
Mineral Deposit
Damaged Pipe
Sag /Pipe Deflection
Transition
4" to 6 "Transition:
White Copy: Propelty Owner
Owner /Occupant Signature
o am
Pm
r - i- 1-1 i
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
Time
ObsJction
Unable to push past
feet
Entered S.i* at N.
/V 0.( fr` l rvc'
Final Cleanout:
p am
•
• O pm
P &ne ( '
f
rf-64 �' a
- Inspector Signature
E .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i
1
l
1' � Pink Copy: SEH
