3786 South Hills Ct - Inspection FormsCity 01' la n
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date c Y 1 /
Name
Roots
Poor Pipe Joints
Mineral Deposits
4" to b" Transition:
White Copy: Property Owner
:'• dam
Time •_A(1 o pm
;%' Disk #
PID Number.
Own erlOccupan(ignature
Compliance
O No foundation drain connection
j C? No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
s 4 1/1
Transition f ;'A ✓' ?`,:;- ? [. r , v
j? ts)
House Number Street Name
Alternative Mailing Address Phone ✓'
For information call 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
Length of Service:
Record Number ` N
Time ( • �= y 0 pm
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks _ Entered S at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
3 ,: 1
w �.,,.,,a,.
_ �.
Foundation drains
Roof drains
City 01' la n
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date c Y 1 /
Name
Roots
Poor Pipe Joints
Mineral Deposits
4" to b" Transition:
White Copy: Property Owner
:'• dam
Time •_A(1 o pm
;%' Disk #
PID Number.
Own erlOccupan(ignature
Compliance
O No foundation drain connection
j C? No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
s 4 1/1
Transition f ;'A ✓' ?`,:;- ? [. r , v
j? ts)
House Number Street Name
Alternative Mailing Address Phone ✓'
For information call 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
Length of Service:
Record Number ` N
Time ( • �= y 0 pm
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks _ Entered S at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
10 City of Capii
Residential Sanitary Sewer Service
Compliance Inspection
Date :In' / / ,l e"
Name f
! : i. / Disk #
PID Number
Owner /Occupant Sifature
Compliance
O No foundation drain connection
O` "No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
sO "' No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe r'
Transition
3
4" to b" Transition:
White Copy: Property Owner
pt r
+�... "� i
• O m
Time (A. • ca t O 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
Length of Service:
Yellow Copy: ..City Qf
y E 7. < ., K
s
Record Number
House Number ' < Street Name /7% "1 `'
J
Notes
� 7 • dam
Time � i • • ) o pm
Obstruction
Unable to push past
feet
1
Alternative Mailing Address Phone (0 e:, . T ' ;' "✓�'
inspector Signature
For information call 651.470.2788
./2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks w Entered S L,at
Final Cleanout:
A
Pink Copy; SEH
Total
Number Discharged
Correctly Incorrectly Unknown
Sump pumps
` "..
ill
Foundation drains
f
Roof drains
-
MIMI
10 City of Capii
Residential Sanitary Sewer Service
Compliance Inspection
Date :In' / / ,l e"
Name f
! : i. / Disk #
PID Number
Owner /Occupant Sifature
Compliance
O No foundation drain connection
O` "No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
sO "' No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe r'
Transition
3
4" to b" Transition:
White Copy: Property Owner
pt r
+�... "� i
• O m
Time (A. • ca t O 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
Length of Service:
Yellow Copy: ..City Qf
y E 7. < ., K
s
Record Number
House Number ' < Street Name /7% "1 `'
J
Notes
� 7 • dam
Time � i • • ) o pm
Obstruction
Unable to push past
feet
1
Alternative Mailing Address Phone (0 e:, . T ' ;' "✓�'
inspector Signature
For information call 651.470.2788
./2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks w Entered S L,at
Final Cleanout:
A
Pink Copy; SEH