3721 South Hills Lane - Inspection Formill. City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
L
PH) Number
House Number ' =, r' .. Street Name
• Alternative Mailin Addres s
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
b' No sump pump
,rt
No roof drain connection
Service Lateral Inspection Findings
Roots
White Copy: Property Owie
4" to 6" Transition:
pip am
Time.- • • p pm
Disk #
OwnerlQccupant Signature
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
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
1 i
I f t �
Number of stacks / Entered S L.at r�'`,=^ of ] �---- 7--;)...„---
f 1 ( /6 ' - S'` %� . a: ✓ � „ � 1 �_.., Ns.r ...--,-,: :-.-f - -) r---..)
r
¢ . >~
r ., - .i - t 1 . ' _ /.d .mss..._ )
f -' fi �' .r
Transition
Length of Service: �.
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
r
"am
• 'O pm
)
Phone f,. ..� � 2 : 1-2'
f ,� Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Ell
Roof drains
ill. City of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
L
PH) Number
House Number ' =, r' .. Street Name
• Alternative Mailin Addres s
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
b' No sump pump
,rt
No roof drain connection
Service Lateral Inspection Findings
Roots
White Copy: Property Owie
4" to 6" Transition:
pip am
Time.- • • p pm
Disk #
OwnerlQccupant Signature
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
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
1 i
I f t �
Number of stacks / Entered S L.at r�'`,=^ of ] �---- 7--;)...„---
f 1 ( /6 ' - S'` %� . a: ✓ � „ � 1 �_.., Ns.r ...--,-,: :-.-f - -) r---..)
r
¢ . >~
r ., - .i - t 1 . ' _ /.d .mss..._ )
f -' fi �' .r
Transition
Length of Service: �.
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
r
"am
• 'O pm
)
Phone f,. ..� � 2 : 1-2'
f ,� Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i
Pink Copy: SEH