710 Brentwood Lane - Inspection Formf { 1
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
...
Foundation drains
� ` i
-
°M—
—°_
Roof drains
�..
City ofto au
Residential Sanitary Sewer Service
Compliance Inspection
Date 0'7 / /4 /y
Name ;
PID Number
House Number .7/0
Alternative Mailing Address
411
7
/ "'' OwnerlOccupant Signature
Compliance
.'O No foundation drain connection
Na No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k No sump pump
Service ateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Propel tyOwner
T ( : v.0 o ' a p m
Disk #
0
Street Name
t
Record Number
Time L ,
Phone
Number of stacks
Length of Service:
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
:' z 2
Yellow Copy: City of Eagan
d
Obstruction
Unable to push past
feet
3
/inspector Signature
Entered S.L,at ,
For information call 651.470.2788
Final Cleanout:
o am
9
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH