4190 Running Brook Rd - Inspection FormI! City al Cap
Residential Sanitary Sewer Service
Compliance Inspection
l':Time gi:0067.
Name ANNA UREK0 %4 1 - 01 Disk #
Date og / 11 / 10=
PID Number
House Number. 9 9 0 Street Name
Compliance
7 4 No foundation drain connection
7 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Pt operty Owner
Owner/Occupant Signature
1- "V;51,Itt. r
4" to 6" Transition:
( ?«r TIE
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
Yellow Copy: City of Eagan
0
Record Number
4
t
0 At 0 0 X
• 0 pm
nl
Time
R.tit1/4,N)N.G B Root( RoAD
Alternative MailingAddress Phone 2 ?). - 1 8O5
InsPectc/Sior'Siure
For information call 651.470.2788
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 S.L at - 1Pc Fiwz M. IP 4 . ) T' - fl
AO* IPJA f•D
THc nt E LOW ER_ LE kr oF '11-if: UN 11 + m i C.)/NZA GE
PAO,ArarOv t..)PgiN 0/N NJ Of:POI Tr, AT 1O 1-4- rr L s• Go
Ajoskyggo vivo ciA13 6P CRApf.- emcpby&
ko ; glist 4116 „ lin
9 'T NECTOJ T 5f (00'D FOqpi 1-1.qt.f 15 ATI ir tiNq
Transition F r2 0 1 Pvc - 1 ,- ) 4:5Q E N- QV AT
NO FS
Final Cleanout:
3 T Ltva_
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
To c :; '8 kjt' CCINP B . ott..91Nt
H A A fiTz.,1-1E P Q:Jof'
Tt-icie.E Nz. E f RAq...0.-EADEre..s
r?
k.' 'i '''(--• R1 774 €' ( -4f.)
Ai-L & 0A L tc.4 '7 vo
LN
Total
Sump pumps
Foundation drains
BE M
Roof drains
I! City al Cap
Residential Sanitary Sewer Service
Compliance Inspection
l':Time gi:0067.
Name ANNA UREK0 %4 1 - 01 Disk #
Date og / 11 / 10=
PID Number
House Number. 9 9 0 Street Name
Compliance
7 4 No foundation drain connection
7 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Pt operty Owner
Owner/Occupant Signature
1- "V;51,Itt. r
4" to 6" Transition:
( ?«r TIE
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
Yellow Copy: City of Eagan
0
Record Number
4
t
0 At 0 0 X
• 0 pm
nl
Time
R.tit1/4,N)N.G B Root( RoAD
Alternative MailingAddress Phone 2 ?). - 1 8O5
InsPectc/Sior'Siure
For information call 651.470.2788
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 S.L at - 1Pc Fiwz M. IP 4 . ) T' - fl
AO* IPJA f•D
THc nt E LOW ER_ LE kr oF '11-if: UN 11 + m i C.)/NZA GE
PAO,ArarOv t..)PgiN 0/N NJ Of:POI Tr, AT 1O 1-4- rr L s• Go
Ajoskyggo vivo ciA13 6P CRApf.- emcpby&
ko ; glist 4116 „ lin
9 'T NECTOJ T 5f (00'D FOqpi 1-1.qt.f 15 ATI ir tiNq
Transition F r2 0 1 Pvc - 1 ,- ) 4:5Q E N- QV AT
NO FS
Final Cleanout:
3 T Ltva_
Pink Copy: SEH