4184 Running Brook Rd - Inspection FormCity p1 Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date (41 2.1 1 2,010
Name PEFN 01.50i-J
PlD Number
House Number
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
• 00 'Kern
Time • s�✓✓ p pin
Disk #
b
f
Yellow Copy: City of Eagan
Record Number
0
Street Name Rat 4H I■ 1 -i' 001/C
Phone
rXam
Time �°' o pm
0 AD
5 i
Pink Copy: SEH
Total
Notes
5un9 PAW rr P - KW --
��, F_ 51" l l'D 7, 1�~ I �`' 1 ,
Q •
r4c�- t�i}E 3 ( }(�taL3 / n ) rONNINqg
i - ro ii c C � r y Au. (- DAi Ls,('.1"�
Number Discharged
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Correctly
Incorrectly
Unknown
Sum pumps
P 'JO
P,ANC
..-
PIP f:-
Q P
,4'r ]q (1.5 4 - #° G i.A. 'r l--I:a ,-" 1 .7 I.. ciorso
Foundation drains
e�1
(kW
- CV , tfdi3€
�7
(2 - C
Roof drains
` 3 L - r "+1- No f Ih AL(...e0„
4" to 6 "Transition: A 1 bl ('4" Length of Service: 19 ' Final Cleanout: ,-
(1+lti1 r of rrif Cri- ) Zi INC rt.ea* C,,e. i>v k..-4
City p1 Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date (41 2.1 1 2,010
Name PEFN 01.50i-J
PlD Number
House Number
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
• 00 'Kern
Time • s�✓✓ p pin
Disk #
b
f
Yellow Copy: City of Eagan
Record Number
0
Street Name Rat 4H I■ 1 -i' 001/C
Phone
rXam
Time �°' o pm
0 AD
5 i
Pink Copy: SEH
For information call 651.470.2788
Compliance
�)5i No foundation drain connection
!t.:1 No roof drain connection
X Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No ump u INC-ii' i
�i43� ?vF �ai + vi
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 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
f
Service Inspection Findings
S i' * r A ,L ) "Ci_i
Number of stacks` °ItA Entered S. L atf Fuuok Co 1 vsai"i
Izeu611 1 1^3y.. E Yt 1. \f l', t. OF 114C- .)4 1 -t' 11 4 1 1 WI
I
oy r (' m0 a6=ewilS
,4'r ]q (1.5 4 - #° G i.A. 'r l--I:a ,-" 1 .7 I.. ciorso
N.} — ?vNif C meta f)vmt.A,N,, 419t1
tiit4 1 4i 9182, -H I ff91, ( lis n
�3 r
HALE SAT-11 f t};Nrf� zlIS3 'S
_91136,
T14( CU n. r'iito, Vii .5 -1-a- I-000 Gaul) .- r'iiAN
Transition FFfUYI kr4 N11 IN C "t GRE i-1 p\iL Ai 16045 j`-
` 3 L - r "+1- No f Ih AL(...e0„
4" to 6 "Transition: A 1 bl ('4" Length of Service: 19 ' Final Cleanout: ,-
(1+lti1 r of rrif Cri- ) Zi INC rt.ea* C,,e. i>v k..-4
City p1 Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date (41 2.1 1 2,010
Name PEFN 01.50i-J
PlD Number
House Number
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
• 00 'Kern
Time • s�✓✓ p pin
Disk #
b
f
Yellow Copy: City of Eagan
Record Number
0
Street Name Rat 4H I■ 1 -i' 001/C
Phone
rXam
Time �°' o pm
0 AD
5 i
Pink Copy: SEH