824 Great Oaks Tr - Inspection FormL
Date) 2
Sag /Pipe Deflection
Damaged Pipe
Transition
4 11 ) 1111 ' City f Ea
pi
i �
Residential Sanitary Sewer Service
Compliance Inspection
Name i i ) ),) K0
PID Number
House Number
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
nipliance
No foundation drain connection
No roof drain connection
Ic Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
7
4" to 6" Transition: ( i ")
White Copy: Property Owner
Time
Disk #
Pm
1 JA
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
4-- Street Name
Length of Service: /L_
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
/)
i
Inspector Signature
Entered S.L at ,f
1J
Final Cleanout: '
am
0 pm
Phone ' 6 s"7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
? , ),-'
: ' p t . '
a
Foundation drains
fl
Roof drains
L
Date) 2
Sag /Pipe Deflection
Damaged Pipe
Transition
4 11 ) 1111 ' City f Ea
pi
i �
Residential Sanitary Sewer Service
Compliance Inspection
Name i i ) ),) K0
PID Number
House Number
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
nipliance
No foundation drain connection
No roof drain connection
Ic Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
7
4" to 6" Transition: ( i ")
White Copy: Property Owner
Time
Disk #
Pm
1 JA
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
4-- Street Name
Length of Service: /L_
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
/)
i
Inspector Signature
Entered S.L at ,f
1J
Final Cleanout: '
am
0 pm
Phone ' 6 s"7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH