803 Eagan Oaks Lane - Inspection FormCity of E,aaao
Residential Sanitary Sewer Service
Compliance Inspection
Date ._..l !c 3
Name
9
PIE) Number r^�
House Number 5 l� Street Name
Alternative Mailing Address
pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Disk #
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
am
Pm
Non - Compliance
O
O
O
O
O
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r
j
f
4" to b" Transition: l / f� f
White Copy: Property Owner
For information call 651.470.2788
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:
Yellow Copy: City of Eagan
Record Number
Phone (3 di
i
Obstruction
Unable to push past
feet
Entered S.L.. at " k
Notes
. r
•
•
inspector Signature
Final Cleanout:
j am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Total Correctly
Discharged
Incorrectly
Unknown
Sump pumps
Foundation drains
NOM
Roof drains
3
City of E,aaao
Residential Sanitary Sewer Service
Compliance Inspection
Date ._..l !c 3
Name
9
PIE) Number r^�
House Number 5 l� Street Name
Alternative Mailing Address
pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Disk #
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
am
Pm
Non - Compliance
O
O
O
O
O
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r
j
f
4" to b" Transition: l / f� f
White Copy: Property Owner
For information call 651.470.2788
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:
Yellow Copy: City of Eagan
Record Number
Phone (3 di
i
Obstruction
Unable to push past
feet
Entered S.L.. at " k
Notes
. r
•
•
inspector Signature
Final Cleanout:
j am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH