928 Trail Ct - Inspection Form4 City of an
Residential Sanitary Sewer Service
Compliance Inspection
- f
Date , it
Name
PID Number
House Number / . 'r Street Name
Alternative Mailing Address Phone
For information call 651.4701788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
' sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4 "u4 o 6 "Transition:
White Copy: Property Owner
Time �" P
Disk #
"
Owner /Occupant Si r9`ature
am
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
Damaged Pipe
t l t
Transition
r
Length of Service:
Yellow Copy: City of Eagan
y
Record Number
(7
N
r
Time
inspector Signature
Obstruction
Unable to push past
feet
• o am
• — s +pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Final Cleanout: .,.,���
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
g ed
Unknown
Note
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Total
Sump pumps
�t
r _
j
i -, G /1172
10 7.-, , ' '1/1.
®
Foundation drains
Roof drains
4 City of an
Residential Sanitary Sewer Service
Compliance Inspection
- f
Date , it
Name
PID Number
House Number / . 'r Street Name
Alternative Mailing Address Phone
For information call 651.4701788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
' sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4 "u4 o 6 "Transition:
White Copy: Property Owner
Time �" P
Disk #
"
Owner /Occupant Si r9`ature
am
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
Damaged Pipe
t l t
Transition
r
Length of Service:
Yellow Copy: City of Eagan
y
Record Number
(7
N
r
Time
inspector Signature
Obstruction
Unable to push past
feet
• o am
• — s +pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Final Cleanout: .,.,���
Pink Copy: SEH