853 Great Oaks Tr - Inspection FormsCity of Eapli
Residential Sanitary Sewer Service
Compliance Inspection
Date 053/ l / E 0
NameNMT \> , i.,ti Disk
PID Number
House Number
Alternative Mailing Address
Compliance
O No roof drain connection
4" to 6" Transition:
White Copy: Property Owner
/j
t • ( `am
Time 0 • } p pm
07 ) Street Name
'Ownerl0ccupant Signature
Non - Compliance
J-LE
° ' (� k C fz.. 1
i
For information call 651:4702788
Record Number _ T
Phone
Time
struction
Inspector Signature
O No foundation drain connection 0 Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _ Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr ansition
Length of Service: Final Cleanout:
p am
•
• O pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Notes t
t . \ t cE
714 TT t..
';, t-JE:450 A, a F. sr, T /\ Th (< (O,
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Cor'r'ectly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City of Eapli
Residential Sanitary Sewer Service
Compliance Inspection
Date 053/ l / E 0
NameNMT \> , i.,ti Disk
PID Number
House Number
Alternative Mailing Address
Compliance
O No roof drain connection
4" to 6" Transition:
White Copy: Property Owner
/j
t • ( `am
Time 0 • } p pm
07 ) Street Name
'Ownerl0ccupant Signature
Non - Compliance
J-LE
° ' (� k C fz.. 1
i
For information call 651:4702788
Record Number _ T
Phone
Time
struction
Inspector Signature
O No foundation drain connection 0 Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _ Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr ansition
Length of Service: Final Cleanout:
p am
•
• O pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Notes t
t . \ t cE
714 TT t..
';, t-JE:450 A, a F. sr, T /\ Th (< (O,
Yellow Copy: City of Eagan Pink Copy: SEH
Sump pumps
Foundation drains
Roof drains
„" City or Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Date :6 t 1 f/
House Number
f
4" to 6 "Transition:
Compliance
O No foundation drain connection
O No roof drain connection
?'Sump pit not connected to
sanitary sewer
O Sump pump properly piped
j : No sump pump
2,
'
Service Lateral Inspection Findings
Roots
Total
White Copy: Proper y Owner
A
% d ivfv
/ m
Oa
Time �S'' 0. pm
Name .7..%'-x'''"1, f s i° Disk #
PID Number
Street Name
Alternative Mailing Address
r ,I
t
Owner /Occupant Signature
Non - Compliance
O Clear water connections to
sanitary sewer
Number Discharged
Correctly
-? t
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
incorrectly
Unknown
Service lateral defects
r
1
4
Record Number i
Yellow Copy City of Eagan
fi7-.• -• ` M fr', '17v
Length of Service: ' -te ..: '-
Time
;;
For information call 651.470.2788
Phne
1r
-inspector Signature
Obstruction- `
Unable'topush past
feet
Number of stacks . / Entered S:L:at
PoorPipejoints a � ;? ry e „✓" ..O t 'c; /t
t- -
Mineral Deposits e , 3 ,i. r ` '' ."s7 . ,;1 t' =�:' :'�> z. . Damaged Pipe i
>,`t'
),V , '1 "d ' r ) 4�`7 , :
Final Cleanout: 4 ='
Notes ... }
j
ri Y i , 1 [,.J��.
O am
it; pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
41*
! City of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Name
Date t 1
Alternative Mailing Address
O No roof drain connection
4" to 6 "Transition:
White Copy: Property Owner
am
Time • o pm
Disk #
PID Number
.yxw <--
House Number r `i Street Name
OwnerlOccupant Signature
Poor Pipe Joints '7
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
For information call 651.470.2788
Compliance Non — Compliance
O No foundation drain connection 0 Clear water connections to
sanitary sewer
O Service lateral defects
O Sump pit not connected to
0 Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
/
f a
Length of Service:
Record Number
Obstruction
Unable to push past
feet.,
Entered S.L.. at
Phone r' ` fI •.. �}� / _;. .
7 ,
Notes
''! 7' , ! . •
am
Time ;.. j • .0 pm
Inspector Signature
f1 �!
inal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
{ �:
i '1r r
d
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
i'
]
..,s
!
ra
/
Foundation drains
--..
` F
, f
Roof drains
ate.....
(")_<_
41*
! City of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Name
Date t 1
Alternative Mailing Address
O No roof drain connection
4" to 6 "Transition:
White Copy: Property Owner
am
Time • o pm
Disk #
PID Number
.yxw <--
House Number r `i Street Name
OwnerlOccupant Signature
Poor Pipe Joints '7
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
For information call 651.470.2788
Compliance Non — Compliance
O No foundation drain connection 0 Clear water connections to
sanitary sewer
O Service lateral defects
O Sump pit not connected to
0 Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
/
f a
Length of Service:
Record Number
Obstruction
Unable to push past
feet.,
Entered S.L.. at
Phone r' ` fI •.. �}� / _;. .
7 ,
Notes
''! 7' , ! . •
am
Time ;.. j • .0 pm
Inspector Signature
f1 �!
inal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
{ �:
i '1r r
d
Yellow Copy: City of Eagan Pink Copy: SEH