864 Great Oaks Tr - Inspection FormCIIj of lap
Residential Sanitary Sewer Service
Compliance Inspection
Date /5
Name / / /!//
PID Number
House Number
4" to 6 "Transition:
White Copy: Property Owner
Alternative frlailingAddr
Compliance
O No foundation drain connection
O No roof drain connection
0 pit not connected to
v \. sanitary sewer
O Sump pump properly piped
O' No sump pump
Owner'/Occupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
• Time • 6 2` p C f-arn
P
Disk #
Street Name
Non - Compliance
O
O
O
O
O
Sag /Pipe Deflection
Damaged Pipe ,
Transition i i» >: //,..// r/c --
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks,._
Length of Service:
g
7r
Record Number
Pho e
r/7
& am
Time l; • / j'
O z O pm
/ Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S . at ,2 J.
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout• f f'
Notes — V 4
AV M -fl:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
.___.- -___
Foundation drains
;a
Roof drains
'. ' ;
- ..
. _ ___ __._
CIIj of lap
Residential Sanitary Sewer Service
Compliance Inspection
Date /5
Name / / /!//
PID Number
House Number
4" to 6 "Transition:
White Copy: Property Owner
Alternative frlailingAddr
Compliance
O No foundation drain connection
O No roof drain connection
0 pit not connected to
v \. sanitary sewer
O Sump pump properly piped
O' No sump pump
Owner'/Occupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
• Time • 6 2` p C f-arn
P
Disk #
Street Name
Non - Compliance
O
O
O
O
O
Sag /Pipe Deflection
Damaged Pipe ,
Transition i i» >: //,..// r/c --
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks,._
Length of Service:
g
7r
Record Number
Pho e
r/7
& am
Time l; • / j'
O z O pm
/ Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S . at ,2 J.
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout• f f'
Notes — V 4
AV M -fl:
Yellow Copy: City of Eagan Pink Copy: SEH