911 Wild Rose Ct - Inspection FormsCity of Eau
Residential Sanitary Sewer Service
Compliance Inspection
Date c ' / rte
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) i. .:�.'2' #
Name = - L.._,� ,= r`. �- Disk
PID Number
House Number
Aker native Mailing Address
s
1
I.
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Time /CS 6 jo pm
Street Name
OwnerlOccupant Signature
Total
Lti-
1
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
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Notes
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•
•
Phone / ,
Inspector Signature
For information call 651:470.2788
No Access
"No one in
Access to service„
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Entered S L at
Final Cleanout:
o am
o pm
/ 1
_ l am
Pink Copy: SEH
Sump pumps
°
Foundation drains
Roof drains
/ ,
tit of Main
Residential Sanitary Sewer Service
Compliance Inspection
(
I 's
Dated -° . 1� /1�
Name
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
am
Time A, ,.4 O pm
sk #
PID Number
House Number Street Name
L/ 1
Owner /Occupant Signature
Non- Compliance
Record Number 1
Alternative Mailing Address Phone
For information call 651.470.2788
Obstruction
inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping v �
Service Lateral Inspection Findings Number. of stacks . F� Entered S. L at — 17)77
)77
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition l - _1 ."
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Notes
` '1Ve. 53
-
J ss F � ✓'} am
ime J " O pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
■
_ fri 7
1/44..-_. r
Yellow Copy: City of Eagan Pink Copy: SEH