805 Great Oaks Lane - Inspection Form-- ..,
Number
Correctly
Discharged
Incorrectly
,
Unknown
Notes
J ✓ r f
C `� , �' - f F c f ° "
I = '_
Total
Sump pumps
A
i ,
�� + a
/ ! } �
°'-4./.74-1
f
Foundation drains
MIMI /1-"‘',AV y/ , r 9 f .''. -
y
�. � L I
Roof drains
City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
Dat .,W
Name
PI Number
House Number > ~ 7 i ,,. Street Name
Alter•nativel Mailing Address
For information call 651 A70.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Pr operty Owner
Di
/ r te.
OwnertOcc Signature
Time • o pm
Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
am
1 r:
Length of Service:
1
Record Number
, � � ° �� •
e ( D • • —
Phone <,.' )7. ) :2 ,
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks '7 Enter 5 L.at
No Access
O No one in
,Yam
0 pm
O Access to service
lateral needed
O Inspection
r efused
) �9
f. Final Cleanout:
Yellow Copy: City of Eagan ..",: pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Dat W ,
i
Name
PID Number
Transition
7
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6 "Transition:
White Copy: Proper ty Owner
d am
Time .) • p pm
Alternatives 1 ailingAddress
OwnerlOccapant Signature
House Number Street Name /
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:
Record Number
For information call 651
Number of stacks _ - Entered S.L. at ! -r
w °A
/ /1 4
. 1
Yellow Copy: City of Eagan
Phone
Obstruction
Unable to push past
feet
„ Final Cleanout:
Notes
/ r
F
1
aM
• O pm
Inspector Signature
No Access
O No one in
r
O Access to service
lateral needed
O Inspection
refused
i
Total
Nursber
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
,'
=
, a
i ._
�
d7 li
_ .,
Foundation drains
Roof drains'
Residential Sanitary Sewer Service
Compliance Inspection
Dat W ,
i
Name
PID Number
Transition
7
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6 "Transition:
White Copy: Proper ty Owner
d am
Time .) • p pm
Alternatives 1 ailingAddress
OwnerlOccapant Signature
House Number Street Name /
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:
Record Number
For information call 651
Number of stacks _ - Entered S.L. at ! -r
w °A
/ /1 4
. 1
Yellow Copy: City of Eagan
Phone
Obstruction
Unable to push past
feet
„ Final Cleanout:
Notes
/ r
F
1
aM
• O pm
Inspector Signature
No Access
O No one in
r
O Access to service
lateral needed
O Inspection
refused
i