4194 Running Brook Rd - Inspection Form4 : 4
4" to 6" Transition:
White Copy: Pr opeity Owner
411 0 11 City al Eau
Residential Sanitary Sewer Service
Compliance Inspection
•
• -
Date D 9 2--Lt 2 '7Time
A
Name ELAmr
PID Number
House Number
'Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Street Name
Owner/Occupant Signature
1:E;
Disk # FO
f O
Record Number
A
Time (L •
•
lq °DK p
• Phone 69t - 330 — 6407
/ )
:7 7/ /
inspec&Srinature
am
0 pm
For information call 651.470.2788
Non-CoMpliance
O Clear Water connections to
sanitary server
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
• •'-•Eefig ' '
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L.at M-1 Ft raYtZ. a 4 91
fr-'1) Lov,f....a. L vlt oi Mr_ UNi(c"
fegrkigerf0 UNkNow f"t-
Lo
pWomhoitau -51.A6 oN Gag: 64.0LOARS
igieglyfiroVi uNcr CON?? glL,36 Ii I et -2., fl 1.44 LJ b, VI
,tormaro TH Lo N Ecrf Ar .7 5 t.-Dot< 00 — FAriv PlIf ATO 1 • ‘31 fr 1 4 I
Transition FP ,\4 N O
Nea
Final Cleanout:
F-.1.--t012. C., 0, 4 - 1/4)fr7c - fi.ji
Pink Copy: SEH
Total
Notes
791:; S %NCI" CO 'p . ?C.;,
0 e
OA 5 ' N fa..\-iED R(50,F
- 111fAl: - Ag.E' 6 P.A4,4 Lc.-412Efz.s
f ;', PiN'ILIGHT 1 V09- VP.0
r' 1 1-1E \
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
i.
Foundation drains
0
Roof drains
4 : 4
4" to 6" Transition:
White Copy: Pr opeity Owner
411 0 11 City al Eau
Residential Sanitary Sewer Service
Compliance Inspection
•
• -
Date D 9 2--Lt 2 '7Time
A
Name ELAmr
PID Number
House Number
'Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Street Name
Owner/Occupant Signature
1:E;
Disk # FO
f O
Record Number
A
Time (L •
•
lq °DK p
• Phone 69t - 330 — 6407
/ )
:7 7/ /
inspec&Srinature
am
0 pm
For information call 651.470.2788
Non-CoMpliance
O Clear Water connections to
sanitary server
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
• •'-•Eefig ' '
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L.at M-1 Ft raYtZ. a 4 91
fr-'1) Lov,f....a. L vlt oi Mr_ UNi(c"
fegrkigerf0 UNkNow f"t-
Lo
pWomhoitau -51.A6 oN Gag: 64.0LOARS
igieglyfiroVi uNcr CON?? glL,36 Ii I et -2., fl 1.44 LJ b, VI
,tormaro TH Lo N Ecrf Ar .7 5 t.-Dot< 00 — FAriv PlIf ATO 1 • ‘31 fr 1 4 I
Transition FP ,\4 N O
Nea
Final Cleanout:
F-.1.--t012. C., 0, 4 - 1/4)fr7c - fi.ji
Pink Copy: SEH