798 Elrene Ct - Inspection FormResidential Sanitary Sewer Servic W4
Compliance Inspection f ,.
Date / l I )(i
Name - -) -_--'
Alternative Mailing Address
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
Service Lateral Inspection Findings
4" to b" Transition:
White Copy: Property Owner
• _,.__ _: Disk#
F3:5 j
i_ 70 am
Time • 45 pm
PID Number
Owner /Occupant Signature
-[
House Number --- 1(1) Street Name T � f � f {` ✓�-
�F-
For information call 651.470.2788
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
Number of stacks
Roots
Poor pe jots / . -° - � *� � , ;l r
Miner .
a posits ; r: 7 �, : � _. , :772'7'.
' ▪ i ' f � . 1---./..4. - °
Sag /Piss Deflection , `.r? ~ i } 'J � ,* :� — ` °-'- : -- / , - :. )C.
Da a ge d '`Pipe / :, r -) ''..,''''.77.7' // f �, r ": .l '7 - / , - "' -t 7./ 1. / r
Transition / y — , . a r f a //, �. � 7>
r
_ _. , --:
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Entered S. L. at
Inspector Signature
Obstruction
Unable to push past
feet
• O am
• O pm
No Access
O No one in
Sc� Access to service
lateereeded
O lns for
refused
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Servic W4
Compliance Inspection f ,.
Date / l I )(i
Name - -) -_--'
Alternative Mailing Address
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
Service Lateral Inspection Findings
4" to b" Transition:
White Copy: Property Owner
• _,.__ _: Disk#
F3:5 j
i_ 70 am
Time • 45 pm
PID Number
Owner /Occupant Signature
-[
House Number --- 1(1) Street Name T � f � f {` ✓�-
�F-
For information call 651.470.2788
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
Number of stacks
Roots
Poor pe jots / . -° - � *� � , ;l r
Miner .
a posits ; r: 7 �, : � _. , :772'7'.
' ▪ i ' f � . 1---./..4. - °
Sag /Piss Deflection , `.r? ~ i } 'J � ,* :� — ` °-'- : -- / , - :. )C.
Da a ge d '`Pipe / :, r -) ''..,''''.77.7' // f �, r ": .l '7 - / , - "' -t 7./ 1. / r
Transition / y — , . a r f a //, �. � 7>
r
_ _. , --:
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Entered S. L. at
Inspector Signature
Obstruction
Unable to push past
feet
• O am
• O pm
No Access
O No one in
Sc� Access to service
lateereeded
O lns for
refused
Pink Copy: SEH
Sump pumps
Foundation drains
"
'
Roof drains
.
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Name ,: -' -•�
House Number
Sag /Pipe Deflection
Damaged Pipe
Transition
IN
4" to 6" Transition:
Alternative Mailing Addr'ess
5 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1)
0 No sump pump
t3
White Copy: Property I ine
Time _ • o pm
Disk #
PID Number
..X '? Street Name
OwnerlOccupant Signature
n,pliance
0 No foundation drain connection
9 am
Phone
For information call 651.470.2788
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
Total Correctly Incorrectly Unknown
Fellow Co y: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Notes
r)
Time 7'\ •
inspector Signature
p am
pm
No Access
O No one in
r`.
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks w Entered S.L.at
Roots
Poor Pipe joints
Mineral Deposits
',. Final Cleanout:, � --
Pink Copy: SSEH
Residential Sanitary Sewer Servic
Compliance Inspection
1 Time
Date )1 / /
° � 7
Alternative Mailing Address
Transition
4" to 6" Transition:
Owner /Occupant Signature
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
White Copy: Property Owner
am
Pm
� r
1
Yellow Copy: City of Eagan
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
Record Number
PID Number
House Number ' "! Street Name 1�
r •
Time
-
Phone
inspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks__ Entered S..L.at
Roots
Poor P pe Joii its
Miner I posits --'- f,- •
___._.,: "-"
r
Sag /Pi Deflection /� `7 . . - f cf/ ; ' 4 :� }i. / � -- /- / ' :--r'
7 -
� - _,, - . / / /
-"
'-r I
Length of Servic : Final Cleanout:
• O am
o pm
_.
No Access
O No one in
Access to service
11 later _needed
0 Inge' io
refused
7
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Servic
Compliance Inspection
1 Time
Date )1 / /
° � 7
Alternative Mailing Address
Transition
4" to 6" Transition:
Owner /Occupant Signature
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
White Copy: Property Owner
am
Pm
� r
1
Yellow Copy: City of Eagan
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
Record Number
PID Number
House Number ' "! Street Name 1�
r •
Time
-
Phone
inspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks__ Entered S..L.at
Roots
Poor P pe Joii its
Miner I posits --'- f,- •
___._.,: "-"
r
Sag /Pi Deflection /� `7 . . - f cf/ ; ' 4 :� }i. / � -- /- / ' :--r'
7 -
� - _,, - . / / /
-"
'-r I
Length of Servic : Final Cleanout:
• O am
o pm
_.
No Access
O No one in
Access to service
11 later _needed
0 Inge' io
refused
7
Pink Copy: SEH