3745 South Hills Dr - Inspection Form4111111" •
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date ›,f? • 9L
ttx
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
Disk #
4" to 6" Transition: /
toZ-.,0)am
Time, *---) • Pm
1.
Name
PID Number
House Number , '''-.)
2r
....
•-) Street Name __-
-
-------
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
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
1 _
-
fit ,
Record Number
•
Time
•
inspector Signature
Obstruction
Unable to push past
feet.
Length of Service:
/
.am
P rn
er
Phone
y -1 • ^ • -
- •
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L. at
•
/ 1?
Note
/
-----) y - 2 .----..) -"'-. .
— 1 ,,)
......,....... _ , .,, . - . .. I
i "-----"' ''' ,
'
---" ,,, ( '---
,
/
/ 1- •.-"<e
Yellow Copy: City of Eagan Pink Copy: SEH
4...
Final Cleanout: - --I-
--5r,
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
/
2
4111111" •
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date ›,f? • 9L
ttx
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
Disk #
4" to 6" Transition: /
toZ-.,0)am
Time, *---) • Pm
1.
Name
PID Number
House Number , '''-.)
2r
....
•-) Street Name __-
-
-------
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
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
1 _
-
fit ,
Record Number
•
Time
•
inspector Signature
Obstruction
Unable to push past
feet.
Length of Service:
/
.am
P rn
er
Phone
y -1 • ^ • -
- •
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L. at
•
/ 1?
Note
/
-----) y - 2 .----..) -"'-. .
— 1 ,,)
......,....... _ , .,, . - . .. I
i "-----"' ''' ,
'
---" ,,, ( '---
,
/
/ 1- •.-"<e
Yellow Copy: City of Eagan Pink Copy: SEH
4...
Final Cleanout: - --I-
--5r,