4196 Running Brook Rd - Inspection Form1. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
White Copy: Property Owner
PLO Number
Disk #
OwnerlOccupant Signature
T
t g Oaam
0 pm
LL
Yellow Copy: City of Eagan
I
Record Number
Time
-House Number 7 Street Name U a, N) + Or r< o
Phone t 51- 2. l3
Insf`ecto ignature
am
o pm
Pink Copy: SEH
Total
Sump pumps 1111
Foundation drains 0
Number Discharged
Correctly Incorrectly Unknown
Notes
�i11 u aq?� v' ,�'S
V4 iC.
i 0 goQ l=
ME 111ER e itt._C 10,11 L1=11U i~? 5 ,t uvp.,Nr,>
iN. i"tiw Gav1rr 0
A kA. 0 6,,bth- ... > I i' \).? t rs
Roof drains
Service Lateral Inspection Findings
v �sr" ,u t. c D 1- 4 2 60‘.. - .-,11
Number of stacl<s'u ( NDv.NEntered S L.at `1C Fici CA N 1Js�ia'' ` le
^��
E t. ONN5a kg ti E L t.) 'MC kj - ± 0 -t t CAN-N6 F.,_
400060iftk U NOIPJN J Y)oc.A ; Ar AT i 7O,0 [ .00(5 CGc'
1. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
White Copy: Property Owner
PLO Number
Disk #
OwnerlOccupant Signature
T
t g Oaam
0 pm
LL
Yellow Copy: City of Eagan
I
Record Number
Time
-House Number 7 Street Name U a, N) + Or r< o
Phone t 51- 2. l3
Insf`ecto ignature
am
o pm
Pink Copy: SEH
For information call 651.470.2788
Compliance
No foundation drain connection
A No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
N No sump pump
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
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings
v �sr" ,u t. c D 1- 4 2 60‘.. - .-,11
Number of stacl<s'u ( NDv.NEntered S L.at `1C Fici CA N 1Js�ia'' ` le
^��
E t. ONN5a kg ti E L t.) 'MC kj - ± 0 -t t CAN-N6 F.,_
400060iftk U NOIPJN J Y)oc.A ; Ar AT i 7O,0 [ .00(5 CGc'
4 ` 'rs- 5 lAi a GgADC Evrtoi
10Wii 6 Suer C_ttmon ui .O t,i(- TO,'- ll2,b, L1110, '-ivi2, ` 4, zi11 y Li d9m
.,.
,;b- f a r o •T1 (w. C E ioN) AT . 5 - f4- Look c Goof) •°- i°'ikoi'i HALF tT 1 IN VP.' £4 J+
Transition f i ?,t"t IpM of Ni, - Vbb r ri AT f N e, i 160 , . "f ;-
1 1 tt. C C, No I tar t. i ,i3.
4" to 6 "Transition:` Length <of Service: 4 7 i r '`" Final Cleanout:
es l• .,5e € :L_ of 34.4. a 1 f ,-34 1'ttn . C.v1, is/ II IT 91
1. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
White Copy: Property Owner
PLO Number
Disk #
OwnerlOccupant Signature
T
t g Oaam
0 pm
LL
Yellow Copy: City of Eagan
I
Record Number
Time
-House Number 7 Street Name U a, N) + Or r< o
Phone t 51- 2. l3
Insf`ecto ignature
am
o pm
Pink Copy: SEH