687 Brentwood Lane - Inspection Form41 of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
0
Date O 0 / '2
Name . ys ! � : ' / Disk # [ CH
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump properly piped
O No sump pump
Sag /Pipe Deflection,„›
4" to 6 "Transition:
White Copy: Propetty Owner
A
• ; bi am
Time O pm
''OwnerlOccupant Signature
PID Number
House Number ee Street Name 1 FV
Alternative Mailing Address
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
e
i
Obstruction
Unable to push past
feet
� S
• GYam
i • Opm
/Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Service Lateral Inspection Findings Number of stacks
Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Transition w'
Final Cleanout: iii',:'.,
Pink Copy: SEH
Number
Correctl
Discharged
Notes r , % c /7
lip ) p'°'t i '' ; L L."- 9 a , f ".,
;, { r rs
r „i' iwr v L ,..r v - / ~r am
0 A i' C,, t
i a
' "-(,.''
l �� �/ e
; / t. 11,E . .._ ,, /.
Tdtal
Incorrect)
Unknown
Sump pumps
Foundation drains
,`
Roof drains
�r_. -, _ . _
__,.. __. ..
y M1
41 of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
0
Date O 0 / '2
Name . ys ! � : ' / Disk # [ CH
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump properly piped
O No sump pump
Sag /Pipe Deflection,„›
4" to 6 "Transition:
White Copy: Propetty Owner
A
• ; bi am
Time O pm
''OwnerlOccupant Signature
PID Number
House Number ee Street Name 1 FV
Alternative Mailing Address
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
e
i
Obstruction
Unable to push past
feet
� S
• GYam
i • Opm
/Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Service Lateral Inspection Findings Number of stacks
Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Transition w'
Final Cleanout: iii',:'.,
Pink Copy: SEH