804 Eagan Oaks Lane - Inspection FormCay or Lapo
Residential Sanitary Sewer Service
Compliance Inspection
w
Dater ° 7 1 : / I ,
. Name
PID Number
House Number Street Name
Alternative Mailing Address
� Ci
White Copy: Proper ty Owner
°7 /)>
am
• .k
Time !� pm
Owner /Occupant Signature
o pliance
No foundation drain connection
f No roof drain connection
i
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6 "Transition: 7 I?
Length of Service:
? 7)
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
rr
Record Number
Phone
/ o7
Time ` `°' 7 - pm
!
Inspector Signature
For information call 651.470,2788
Obstruction
Unable to push past
feet
e
Number of stacks ' ' Entered S L.at
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
2
f }
Final Cleanout: f 1 r
�-' (7
) J
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
C w •
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1
Foundation drains
i J` )
Roof drains
Cay or Lapo
Residential Sanitary Sewer Service
Compliance Inspection
w
Dater ° 7 1 : / I ,
. Name
PID Number
House Number Street Name
Alternative Mailing Address
� Ci
White Copy: Proper ty Owner
°7 /)>
am
• .k
Time !� pm
Owner /Occupant Signature
o pliance
No foundation drain connection
f No roof drain connection
i
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6 "Transition: 7 I?
Length of Service:
? 7)
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
rr
Record Number
Phone
/ o7
Time ` `°' 7 - pm
!
Inspector Signature
For information call 651.470,2788
Obstruction
Unable to push past
feet
e
Number of stacks ' ' Entered S L.at
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
2
f }
Final Cleanout: f 1 r
�-' (7
) J
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
C w •
Yellow Copy: City of Eagan Pink Copy: SEH