694 Brentwood Lane - Inspection Formw F !v - 1A.
Number Discharged
Unknown
Motes 4 1 ' `
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5
i i'f` J ' ° ; ,, / r # ) 'i r C
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Total
Correctly
Incorrectly
Sump pumps
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.x.
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T
Foundation drains�
Roof drains
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City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 /.I1 . 4
Name ti T Y ie - i :/". Disk #
P1D'Number
Alternative Mailing Address
4" to 6" Transition:
White Copy: Propetty Owner
•
Time
rlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
9 No sump pump
Service Lateral Inspection Findings
3r
v
o am
,6" pm
f �
House Number '% V Street Name .�1��✓ � �,�r ✓ "r. ;1� �.,r� '�
For information calf 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 Entered S.L.at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Pho
{ 7 • Oam
Time / „..A • k Pm
'inspector Signature
Obstruction
Unable to push past
feet
Final C leanout:F/ (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1
Transition •i <n� £
Pink Copy: SEH