841 Great Oaks Tr - Inspection Form'
Number
Correctly
Discharged
Incorrectly Unknown
Notes _e > '` "' ,,, w {;- : ;�7.,,._
.
? y /sw { vt 9' (7
YN rE r : ,.. r
Total
Sump pumps 'u£:rr'i
Foundation drains
�--o
Roof drains
t -j
W ._
_. , C. „c '_ .,. � ,,
t,: / 1, t f 7 ,... r =c'1J , '? r.,-.'77
4 City (' bra n
y �
Residential Sanitary Sewer Service
Compliance Inspection
Date '7 e l/ L.r / r } Time C 2 •v' ' pm
Name / il re/r `" Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
i', O No roof drain connection
0.
pp Sump pit not connected to
I sanitary sewer
O Sump pump properly piped
< O No sump pump
4" to 6" Transition:
White Copy: Props Owner
0
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
0
Time
7
Phone r` '
_
,-inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks ; Entered S.L,at
Roots i1?'yr 5 i
� r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: °,.
• 7 da
m
.m O pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH