3784 South Hills Ct - Inspection FormCompliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
For information call 651.470.2788
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Non - Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks „. .. :2 . '"', ,
i� Entered S L at - . ” 'i
Roots i' / ' 'i
)
PoorPipejoints � ° . '-7' _.' 72 ),a ' a "� - ? z.
Mineral Deposits ._._ '.'r ' 'T2T)f . - 1 ' 7
Sag /Pipe Deflection --'5 : 37, `
Damaged Pipe ., i
s) ° fi e, "
Transition ` ""�' „ '✓- " --
' ' r_ ° �. .4 "";�� a' ' _; a ' IC
4" to 6" Transition: . �' ; �n Length of Service: 0 -- Final Cleanout:
Number Discharged
NOteS
L -- - ' 3 - ---s L__"
. J '
_ d
'
Total
Correctly
Incorrectly
,:Unknown
Sump pumps
Foundation drains
Roof drains
4 City of lia ai
Residential Sanitary Sewer Service
Compliance Inspection
} i
Date --7 / 9. / � ' Time • pm
Name. J 1
PO Number
House Number / i Street Name
White Copy: Pr loperty Owner
Disk #
Owner /Occupant - Signature
Yellow Copy: City; o f Eagan
Record Number
'
Alternative MailingAddress Phone t, -'�
}
c a O.
pm
• Inspector Signature
Pink Copy: SEH