3482 Trails End Rd - Inspection Formcity of Eagn
Residential Sanitary Sewer Service
Compliance Inspection
Date t/ / 0 / /iv Time
/2,4 IV
Name ?Fie
PID Number
House Number _J Street Name
1
--(` /
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,0 No sump pump
Damaged Pipe
Transition
Service Lateral Inspection Findings
Roots
. '4/ . • -
Poor Pipe Joints
/,
Mineral Deposits 0
/
Sag/Pipe Deflection
4" to 6"Transition:
14\
White Copy: Property Owner
• 11,414Alf.)
Disk ifra41
• r„,, 0 .am
..0`prn
Alternative Mailing Addr ess
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 Entered S at
Length of Service:
Yellow Copy: City of Eagan
( tc,t_
I
Record Number L.
/
Phone NS e
fr•
f .
For information call 651.470.2788
Obstruction
Unable to push past
feet
0
•
•
Time / •
- Inspector Signature
•
Final Cleanout:
o
am
b
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number
CorreCtly
Discharged
Incorrectly Unknown
N otes 0 1 ,I.,. . 1-7 c'.' , , 1
,i;
...1 '
.4- ;?.,-
i%/': L-'
/ _,- .--'6 ,4 ,.._ r.-. ,..- ...,.,.)
`-'''
.0 ,y,,,, ,, ...-:-.' 7 _..
1 ( 45.:':f. 1 ;(6 - C/ '0" ''C-..- i- . '''
--,-
e',..- , -----
,..,) 1 ,:' , i " - - / ' f :"/
i
Total
Sump pumps
Foundation drains
r;31-''
k' 1 ---
-,-----
Roof drains
;) -±'
V...)
._„,.....,__.....,._ ,
'.::.
city of Eagn
Residential Sanitary Sewer Service
Compliance Inspection
Date t/ / 0 / /iv Time
/2,4 IV
Name ?Fie
PID Number
House Number _J Street Name
1
--(` /
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,0 No sump pump
Damaged Pipe
Transition
Service Lateral Inspection Findings
Roots
. '4/ . • -
Poor Pipe Joints
/,
Mineral Deposits 0
/
Sag/Pipe Deflection
4" to 6"Transition:
14\
White Copy: Property Owner
• 11,414Alf.)
Disk ifra41
• r„,, 0 .am
..0`prn
Alternative Mailing Addr ess
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 Entered S at
Length of Service:
Yellow Copy: City of Eagan
( tc,t_
I
Record Number L.
/
Phone NS e
fr•
f .
For information call 651.470.2788
Obstruction
Unable to push past
feet
0
•
•
Time / •
- Inspector Signature
•
Final Cleanout:
o
am
b
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused