860 Great Oaks Tr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date
_ /
Name
PID Number
4" to 6" Transition:
Alternative Mailing Address
White Copy: Proper ry Owner
House Number Si!�'
Time
Disk #
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Poork{'ipeJo) is
For information call 651.470.2788
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
Phone / - f ; /
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O
Minera eposits '" � 7?I'' 1
Sag/pi eflection
Damaged Pipe
12.E n am
• O pm
Flexible sump pump piping
Number of stacks
�.. "
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date
_ /
Name
PID Number
4" to 6" Transition:
Alternative Mailing Address
White Copy: Proper ry Owner
House Number Si!�'
Time
Disk #
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Poork{'ipeJo) is
For information call 651.470.2788
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
Phone / - f ; /
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O
Minera eposits '" � 7?I'' 1
Sag/pi eflection
Damaged Pipe
12.E n am
• O pm
Flexible sump pump piping
Number of stacks
�.. "
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Transition
Pink Copy: SEH
441111
Cif of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Date E- Cl
Name ( J4-/ovic
PID Number
House Number
Alternative Mailing Address
4" to 6"Transition:
Compliance
4
i 40 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
VSump pump properly piped
O No stinip pump
White Copy: Property Owner
•
Time 17
Disk #
Street Name
Owner/Occupant Signature
1
d'am
0 pm
0
7
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:
Yellow Copy: City of Eagan
,
Record Number
Time
hone
h$ (
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L. at &kV IZ
WW
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe .
r t .
Transition I 1j f o i f " "
/inspector Signature
O am
0 pm
No Access
O No one in
Final Cleanout:
• .A
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
1ncorrectly Unknown
Notes / z .
n.' th 1 • 4..- .,-„,.. ..i.ii ',..
/ =
.i-iii - i-.....<244i
di„ ...._.., •-..:„ , „,-, ..--1
Aim /
1- - '.- - g.... ---71 /
I/ 1 2,••.- ( , 7 .
• '••- — ,:! / 0 ti
--* ? 2 '• ,, /
7 'A- --- 4 , .J.........P •' , --,
• ./ :,...: ..., i ‘ ,....t.', 1. i j, ,
V ( 5 . iii:' .,:-/ / ..1!
"
,, .
Total
Sump pumps
.
Foundation drains
,,, ,,I .
:- •••,.,:. :.
,..
Roof drains
, —
.
,,,-•
.--,..—.......
..„„--,... .
441111
Cif of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Date E- Cl
Name ( J4-/ovic
PID Number
House Number
Alternative Mailing Address
4" to 6"Transition:
Compliance
4
i 40 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
VSump pump properly piped
O No stinip pump
White Copy: Property Owner
•
Time 17
Disk #
Street Name
Owner/Occupant Signature
1
d'am
0 pm
0
7
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:
Yellow Copy: City of Eagan
,
Record Number
Time
hone
h$ (
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L. at &kV IZ
WW
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe .
r t .
Transition I 1j f o i f " "
/inspector Signature
O am
0 pm
No Access
O No one in
Final Cleanout:
• .A
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH