815 Great Oaks Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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4. City of kali
Residential Sanitary Sewer Service
Compliance Inspection
• O am
Date / / G Time • .3 - c pm
Name C.. 1/ 4 Disk #
PID Number
House Number
7
Alternative Mailing Address
e
White Copy: Pr operty Owner
OwnerlOccupant Signa
Street Name
re
V
,0.47 - c?---7/6
For information call 651.470.2788
Compliance
No foundation drain connection
O
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
l e No sump pump
No roof drain connection
Non - Compliance
0
0
0
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet
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 i - fir - f -
Roots
Poor Pipe joints
Mineral Deposits (il, fr'
Sag /Pipe Deflection
Damaged Pipe
Transition L r' +y r t , A.(
/
4" to 6" Transition:
N/
Length of Service:
Final Cleanout: ' ' ')
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number s
Notes
r — C c)
4J . .
WOO � T'1
- /NM/t ' �r i�,; ; 5-
r' O am
Time • U O(pm
Phone 1 Fi/ 6 ? T ("
✓ 7nsp7or Signature
;;
LiNVI
Pink Copy: SEH
/
Number
Correctly
Discharged
Incorrectly Unknown
Notes \ /
. ' 1 ,, , ,- 77 . a,,,� I ; %
—// Z1") J ,,� "Y" .-.\
/4-- .
-~ ilikjl0 i ,`''!<g -. 7i y ` i�
- ( .
Total
Sump purtaps
Foundation drains
:;:
--_
_
Roof drains
_
'! Cit of i'a au
Residential Sanitary Sewer Service
Compliance Inspection
Date OR I 07 1 / '
Name fit- 2 4 9 Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k o No sump pump
No roof drain connection
4" to 6" Transition:
White Copy: Proper ty Owner
A O No foundation drain connection
OwnerlOccupant Sign°
Damaged Pi e
F d
Transition I.'" if 4 A AJ
Time / • •.3� pA
Street Name
1
0
O
O
0
0
re
Non - Compliance
1
Phone 1 6
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks / Entered S at
Roots
Poor Pipe Joints
Mineral Deposits,
Sag /Pipe Deflection
Length of Service:
Yellow Copy: City of Eagan
Record Number ---- S j
0 am
Time " . : C = pfripm
lnsp ct Signature
Obstruction
Unable to push past
feet
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH