706 Brentwood Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 6X/ G` r: >>
Name 49/47 ,14-2% "A
PID Number
House Number
Alternative Mailing Address
?r,/ Street Name
Owner /Occupant Signature
For information call 65
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
Afr o am
Time 3 � O O - f r5' pm
a —u 1
Non - Compliance
O Clear water connections to ' y
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
Yellow Copy: City of Eagan
- fime
Number of stacks Entered S L at
r � ,. �
Phone _ f �✓ !. . r ti
) 1
t) �
Inspector Signature
Obstruction
Unable to push past
feet
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes
r
t e 4 f
- -.
r�.
) ) /1
°1
, (`.
r
• O am
O o pm
/
No Access
No one in
Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date 6X/ G` r: >>
Name 49/47 ,14-2% "A
PID Number
House Number
Alternative Mailing Address
?r,/ Street Name
Owner /Occupant Signature
For information call 65
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
Afr o am
Time 3 � O O - f r5' pm
a —u 1
Non - Compliance
O Clear water connections to ' y
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
Yellow Copy: City of Eagan
- fime
Number of stacks Entered S L at
r � ,. �
Phone _ f �✓ !. . r ti
) 1
t) �
Inspector Signature
Obstruction
Unable to push past
feet
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes
r
t e 4 f
- -.
r�.
) ) /1
°1
, (`.
r
• O am
O o pm
/
No Access
No one in
Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Sump pumps
�_._
�,.. ...
Foundation drains
Roof drains
_...- .: -._ -.
4 11. City of Ewa
Residential Sanitary Sewer Service
Compliance Inspection
4 - -, ,,
Name r` (L �ICt.l'V
Dated 71 / - 1,., Time 4k • pm
Disk 14
PID Number
House Number Street Name
Alternative Mailing Address
Own r /Occupant Signature
o pliance
/No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1 )O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Properi Owner
S 1e /1A./ tit
L
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
Yellow Copy: City of Eagan
Record Number
t • o m
Time r, • • !. o''nm
icspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Notes
Final Cleanout:,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks ..r Entered S „L.at . 4. 7/ J / Y
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe r
Transition
Piny Copy: SEH