3533 Great Oaks Pl - Inspection Formit oi lava
Residential Sanitary Sewer Service
Compliance Inspection
Date / .fr
Name
PID Number
) Street Name
,
House " Number
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Poor Pipe Joints
Mineral Deposits
f Deflection
, -
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
)
"3)
Ownerificcupant Signature
:- am
Time 'Y6 prn
1111■IM
Length of Service:
Record Number
Alternative MailingAddress
/ /f _
/ 1
\k (
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
Notes
Time
Yellow Copy: City of Eagan
-47,7•;',5 am
• •
•
PhoneK-
'Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
Roots
- 4 ?
Final Cleanout:-
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-0 pm
Pink Capp SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
1111
IIII
Foundation drains
',---'
rli/l1111111111
Roof drains
it oi lava
Residential Sanitary Sewer Service
Compliance Inspection
Date / .fr
Name
PID Number
) Street Name
,
House " Number
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Poor Pipe Joints
Mineral Deposits
f Deflection
, -
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
)
"3)
Ownerificcupant Signature
:- am
Time 'Y6 prn
1111■IM
Length of Service:
Record Number
Alternative MailingAddress
/ /f _
/ 1
\k (
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
Notes
Time
Yellow Copy: City of Eagan
-47,7•;',5 am
• •
•
PhoneK-
'Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
Roots
- 4 ?
Final Cleanout:-
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-0 pm
Pink Capp SEH