3463 Trails End Rd - Inspection FormC111 ill Fd f
Residential ;Sanitary Sewer Service
Compliance Inspection
Date "! L . -_-
Name / 6.'C � � Disk #
PID Number !
1
House Nurriber
' C Street Name 1 1'1
>
Phone 7 ` - f.s i j
Alternative Mailing Address
OwnerlOccupant Signature
l5
For information call 651 470.2788
Compliance
O No foundation drain connection
s
S No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump 0 Flexible sump pump piping
■
Service Lateral Inspection Findings Number of stacks �' Entered S.L.at
Time ` r • A pm
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1, 7
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
a..
White Copy: Proper ty Owner
Length of Service: /) ) : Final Cleanout:- ! ..z77
Yellow Copy: City of Eagan
Record Number
Notes
11:kTime
Inspector Signature
Obstruction
Unable to push past
feet
9
• _ pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t r7
_4 1
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
C111 ill Fd f
Residential ;Sanitary Sewer Service
Compliance Inspection
Date "! L . -_-
Name / 6.'C � � Disk #
PID Number !
1
House Nurriber
' C Street Name 1 1'1
>
Phone 7 ` - f.s i j
Alternative Mailing Address
OwnerlOccupant Signature
l5
For information call 651 470.2788
Compliance
O No foundation drain connection
s
S No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump 0 Flexible sump pump piping
■
Service Lateral Inspection Findings Number of stacks �' Entered S.L.at
Time ` r • A pm
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1, 7
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
a..
White Copy: Proper ty Owner
Length of Service: /) ) : Final Cleanout:- ! ..z77
Yellow Copy: City of Eagan
Record Number
Notes
11:kTime
Inspector Signature
Obstruction
Unable to push past
feet
9
• _ pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t r7
_4 1
Pink Copy: SEH
401111. City f hap!
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date / l
Name
•
Alternative Mailing Address
-
4" to 6 "Transition:
Disk
Owner/
Compliance
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
Service Lateral inspection Findings
Roots
White Copy: Property Owner
�j 9 am
Time s pm
J.
tcupant Signature
PID Number
House Number • " ; 2 Street Name 1
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
Length of Service:
Record Number
Notes
Time
o am
•
• o pm
/ 7
Phone._ - 5.''2/1 j
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S. L at
ri
fit
Poor Pipe)oints i �,f.!'7 , r �r 2 „� / 7 � f %' •
M ineri.l,eposits -- ~ :?..,� -_-7-7---(-,--/--- Y -,�.. �..<..� _�"
SagIPi Deflection 7 Ti..-- - - ; ,, - y r r �' % )..��'" ''7 f ;(
Damaged Pipe ` .i _,! ?`%''2' i� �- )T4 (2, -
Transition
Final Cleanout:
No Access
O No one in
Access to service
lateral needed.
%
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number Discharged
Correctly Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
401111. City f hap!
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date / l
Name
•
Alternative Mailing Address
-
4" to 6 "Transition:
Disk
Owner/
Compliance
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
Service Lateral inspection Findings
Roots
White Copy: Property Owner
�j 9 am
Time s pm
J.
tcupant Signature
PID Number
House Number • " ; 2 Street Name 1
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
Length of Service:
Record Number
Notes
Time
o am
•
• o pm
/ 7
Phone._ - 5.''2/1 j
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S. L at
ri
fit
Poor Pipe)oints i �,f.!'7 , r �r 2 „� / 7 � f %' •
M ineri.l,eposits -- ~ :?..,� -_-7-7---(-,--/--- Y -,�.. �..<..� _�"
SagIPi Deflection 7 Ti..-- - - ; ,, - y r r �' % )..��'" ''7 f ;(
Damaged Pipe ` .i _,! ?`%''2' i� �- )T4 (2, -
Transition
Final Cleanout:
No Access
O No one in
Access to service
lateral needed.
%
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH