833 Great Oaks Tr - Inspection FormCity al Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date ! _t .� • Time
Name tA {',. f ,--fil, Disk #
PID Number
House Number .= ' . Street Name
Alternative Mailing Address
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper Owner
OwnerlOccupant Signature
L
/
am
pm
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
)
Yellow Copy: City of Eagan
Record Number
i
Length of Service: G .--"0j
Time
f
--
Phone f�
si,�•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
L :3
Entered S,I_.at
1•
•
o ,am
rn pm
rj
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/1.4(7 x,
Roots
t Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
No e / s � h 7 _�
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1' ='w' /1 " y !�
�jf/I f� r f-
1 i 4∎ ✓ "� 0r != �i t ` ? ' ) `
9) } . r- -- . l- I :::� � a 1 -.
� 7 : � / .- ( 01
(,,,../7 / , -9 r � ' �--- -
Total
Sump pumps
Foundation drains
Roof drains
/
/
City al Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date ! _t .� • Time
Name tA {',. f ,--fil, Disk #
PID Number
House Number .= ' . Street Name
Alternative Mailing Address
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper Owner
OwnerlOccupant Signature
L
/
am
pm
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
)
Yellow Copy: City of Eagan
Record Number
i
Length of Service: G .--"0j
Time
f
--
Phone f�
si,�•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
L :3
Entered S,I_.at
1•
•
o ,am
rn pm
rj
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/1.4(7 x,
Roots
t Final Cleanout:
Pink Copy: SEH