3765 Elrene Rd - Inspection FormResidential Sanitary Sewer Service
City of alai Compliance Inspection
Date ! ) I L Time •
f 1 _ , Disk Name r . -, — ,- - 1,7 - -. >' i
PID Number
House Number �� / - r.._ - .Street Name
Alternative Mailing Address
For information call 65 1.470.2788
Compliance
O No foundation drain connection
tit
'1
� �.� t' .� 7
OitinerlOccupant Signature
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks ° Entered S L at. �-
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe r-
'Transition
4" to 6" Transition:
White Copy: Property Owner
Non-Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
am
Pm
W
Phone
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time O pm
e
Obstruction
inspector Signature
+ 4. Final Cleanout:
am
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Number ®iischarged
Unknown
Notes
, -
-/ /A i - %' . x.-3 - c'' r T.'[ f
- v , -,7,--::? f _ r� /�- `
1 �__. z' -.__/
) J1 : � ...f�
t p j�p::� �.I r � { ��� .1 � /J. >y ,-
E. ! f •-- � /), -'. 2 �- / ��` ! �w.,
t
Total
Correctly
Incorrectly
Sump pumps
.
Foundation drains
F
)
Roof drains
� 1
Residential Sanitary Sewer Service
City of alai Compliance Inspection
Date ! ) I L Time •
f 1 _ , Disk Name r . -, — ,- - 1,7 - -. >' i
PID Number
House Number �� / - r.._ - .Street Name
Alternative Mailing Address
For information call 65 1.470.2788
Compliance
O No foundation drain connection
tit
'1
� �.� t' .� 7
OitinerlOccupant Signature
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks ° Entered S L at. �-
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe r-
'Transition
4" to 6" Transition:
White Copy: Property Owner
Non-Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
am
Pm
W
Phone
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time O pm
e
Obstruction
inspector Signature
+ 4. Final Cleanout:
am
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Dated J 1 / / 1
Name
PID Number
House Number 7 f e"--" — Street Name
Alternative Mailing Address
r
/1
ii
No sump pump
Roots
Poor Pipe Joints
4" to 6" Transition: { - ;
White Copy: Pr oper ty Owner
Time
Disk #
QWnertOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Service Lateral Inspection Findings
Mineral Deposits,
SaglPipe Deflection
Damaged Pipe
Tr ansition
t 1
1. am
• pm
�LJ -[
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
Length of Service: '`
Yellow Copy: City of Eagan
Record Number
• Time
am
• `O pm
Phone I � �. _ r .. y' ?
inspector Signature
For information call 651
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at - ri'
Final Cleanout:
Pink Copy: SEH
• Number
Correctly
Discharged
incorrectly
Notes
, . r
Total
Unknown
r
!- ,,- / . / % �j2/ �'' f.
'- - y ii"' ' 4.-:. •: 7
J �` !
°' "'C
] I I ( 1 /
Sump pumps
1;
Foundation drains
Roof drains
City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Dated J 1 / / 1
Name
PID Number
House Number 7 f e"--" — Street Name
Alternative Mailing Address
r
/1
ii
No sump pump
Roots
Poor Pipe Joints
4" to 6" Transition: { - ;
White Copy: Pr oper ty Owner
Time
Disk #
QWnertOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Service Lateral Inspection Findings
Mineral Deposits,
SaglPipe Deflection
Damaged Pipe
Tr ansition
t 1
1. am
• pm
�LJ -[
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
Length of Service: '`
Yellow Copy: City of Eagan
Record Number
• Time
am
• `O pm
Phone I � �. _ r .. y' ?
inspector Signature
For information call 651
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at - ri'
Final Cleanout:
Pink Copy: SEH