4609 Beacon Hill Ct - Inspection Form4. City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
g r -
PID Number
House Number
Al to rnati ve Mai (i ng Add ress
For information calf 651.470.2788
Compliance
0 No foundation drain connection
No roofdrain connection
i Sump pit not connected to
sanitary sewer
,, d ` Sump pump properly piped
O' No sump pump
4" to 6" Transition:
White Copy: Property [honer
Time �r' ``•
Disk #
t Street Name
Service Lateral Inspection Findings
g f
Y — am
pm
� 4 Owner /Occupont Signature
Number of stacks
Length of Service:
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.
Time
•
Phone
Obstruction
Unable to push past
feet
Entered S . at
a
1
inspector Signature
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
• O am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Notes
Discharged
Incorrectly Unknown
mi.
IIM
Total
Sump pumps
�
, a
Foundation drains
IN
Roof drains
_ `
t
/
4. City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
g r -
PID Number
House Number
Al to rnati ve Mai (i ng Add ress
For information calf 651.470.2788
Compliance
0 No foundation drain connection
No roofdrain connection
i Sump pit not connected to
sanitary sewer
,, d ` Sump pump properly piped
O' No sump pump
4" to 6" Transition:
White Copy: Property [honer
Time �r' ``•
Disk #
t Street Name
Service Lateral Inspection Findings
g f
Y — am
pm
� 4 Owner /Occupont Signature
Number of stacks
Length of Service:
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.
Time
•
Phone
Obstruction
Unable to push past
feet
Entered S . at
a
1
inspector Signature
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
• O am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH