819 Eagan Oaks Lane - Inspection Form*City a n
�
Residential Sanitary Sewer Service
Compliance Inspection
Date � 11
Name ) D
PID Number
House Number
Alternative Mailing Address
y
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
/\7?
rf /
OwnerlOccupant Signature
Sump pit not connected to
sanitary sewer
O
Sump pump properly piped
No sump pump
4" to 6 "Transition: 4::
White Copy: Proper ty Owner
Time
Service Lateral Inspection Findings
Street Name
„w
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Transition 't'"3 / 2( ..! t
Phone me --- 77
•
Number of stacks % Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Obstruction
Inspector Signature
Final Cleanout:
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
v
Total
Note
!
,
a
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1 >
Number
Dischar
ed
Correctly
Incorrectly
Unknown
Sump pumps
r
Foundation drains='
Roof drains
*City a n
�
Residential Sanitary Sewer Service
Compliance Inspection
Date � 11
Name ) D
PID Number
House Number
Alternative Mailing Address
y
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
/\7?
rf /
OwnerlOccupant Signature
Sump pit not connected to
sanitary sewer
O
Sump pump properly piped
No sump pump
4" to 6 "Transition: 4::
White Copy: Proper ty Owner
Time
Service Lateral Inspection Findings
Street Name
„w
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Transition 't'"3 / 2( ..! t
Phone me --- 77
•
Number of stacks % Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Obstruction
Inspector Signature
Final Cleanout:
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
v