3537 Great Oaks Pl - Inspection Form40.
City of Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
PID Number
777
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
\i
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
/ 0 No sOrnp pump
Service Lateral Inspection Findings
Sag/Pipe Deflection
Damaged Pipe
ti
Transition
White Copy: Pi operty Ownei
H • '7 am
Pm
Time
Disk #
Street Name
Owner/Occupant Signature
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'.
.7) •
... /
4" to 6" Transition:
(5;
Inspector Signature
Record Number
Length of Service: I
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
j r ,
Phone
Time
No Access
C No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks "7 Entered 5 L at
Roots
Poor Pipe Joints
Mineral Deposits
Pink Copy: SEH
I
5 11
1Firial Cleanout:e"/
t;r.
Total
Notes
4._,....
_-) A.
i J
i .
,...,,.:.
l'
/
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
,
Foundation drains
„.....,
0
Roof drains
./ )
40.
City of Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
PID Number
777
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
\i
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
/ 0 No sOrnp pump
Service Lateral Inspection Findings
Sag/Pipe Deflection
Damaged Pipe
ti
Transition
White Copy: Pi operty Ownei
H • '7 am
Pm
Time
Disk #
Street Name
Owner/Occupant Signature
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'.
.7) •
... /
4" to 6" Transition:
(5;
Inspector Signature
Record Number
Length of Service: I
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
j r ,
Phone
Time
No Access
C No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks "7 Entered 5 L at
Roots
Poor Pipe Joints
Mineral Deposits
Pink Copy: SEH
I
5 11
1Firial Cleanout:e"/
t;r.
Residential ' '.Sanitary Sewer Service
Compliance Inspection
DateV? 1 ; 1
'
Name
•' . .'
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time I •• ` }Y/ 'r pm
Disk #
Owner/Occupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
-L1J-Lt
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
Sag /Pipe Deflection
Damaged Pipe
Number of stacks Entered S L at
Transition' 1, ; ,
f
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
1
•
PID Number
SS Street Name r >y ` /1:7e' _
House Number _ "' '�'�� �'
f�
Phone `- .% 1,1
;'t r
' lrisfiector Signature
For information call 651.470:2788
Obstruction
Unable to push past
feet
O Inspection
refused
N Access
r /
No one in
O Access to service
lateral needed
O
O pm
Mineral Deposits
)
Final Cleanout:
f
7/
J f r !] ' ! 3
Pink Copy: SEH
Total
Notes
'
Af
' '
/ ,
lj
i
` ]
/1
li �_
t
g
A,
f
{
' �
r=
/
(!°
/ ,�,
C_
/'
i
`
� '
/71 •
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential ' '.Sanitary Sewer Service
Compliance Inspection
DateV? 1 ; 1
'
Name
•' . .'
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time I •• ` }Y/ 'r pm
Disk #
Owner/Occupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
-L1J-Lt
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
Sag /Pipe Deflection
Damaged Pipe
Number of stacks Entered S L at
Transition' 1, ; ,
f
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
1
•
PID Number
SS Street Name r >y ` /1:7e' _
House Number _ "' '�'�� �'
f�
Phone `- .% 1,1
;'t r
' lrisfiector Signature
For information call 651.470:2788
Obstruction
Unable to push past
feet
O Inspection
refused
N Access
r /
No one in
O Access to service
lateral needed
O
O pm
Mineral Deposits
)
Final Cleanout:
f
7/
J f r !] ' ! 3
Pink Copy: SEH