786 Elrene Ct - Inspection FormCity or Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
Date. 1, !/
Na m e ! � > Dis k #
PID Number
House Number %� Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump property piped
No sump pump
Transition
4" to 5" Transition:
White Copy: Property Owner
Time, 3 •
OwnerlOccupant Signature
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 f�
Service Lateral Inspection Findings
Roots r
Poor P r Re }oints✓
Mineralll eposits
Sag /Pipe Deflection
Damaged Pipe
Yellow Copy: City of Eagan
Record Number
Time
�® ? 1
Phone i = " - ") _ `-,-,
inspector Signature
For information call 651.470.2788 ..
Obstruction
Unable to push past
feet
am
• ✓o pm
Entered S. L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Length of Service: c../
,.. i Cleanout: 1
ff •, .
Pink Copy: SEH
Notes,,
1
6-- - / //1(71 - i 2 ' �, {
" ( 'r ,- '
l
• Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
. — / ."
Foundation drains
Roof drains
City or Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
Date. 1, !/
Na m e ! � > Dis k #
PID Number
House Number %� Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump property piped
No sump pump
Transition
4" to 5" Transition:
White Copy: Property Owner
Time, 3 •
OwnerlOccupant Signature
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 f�
Service Lateral Inspection Findings
Roots r
Poor P r Re }oints✓
Mineralll eposits
Sag /Pipe Deflection
Damaged Pipe
Yellow Copy: City of Eagan
Record Number
Time
�® ? 1
Phone i = " - ") _ `-,-,
inspector Signature
For information call 651.470.2788 ..
Obstruction
Unable to push past
feet
am
• ✓o pm
Entered S. L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Length of Service: c../
,.. i Cleanout: 1
ff •, .
Pink Copy: SEH
Sump pumps
Foundation drains
Roof drains
City of Eagan
Residential Sanitary • Seanre^
Compliance Inspection
Date
Name )
PID Number
House Number f/ Street Name _
Alternative Mailing Address
Transition
For information call 65 1.470.2788
Compliance
O No foundation drain connection
No roof drain. connection
O Sump pit not connected to
sanitary sewer
O _) Sump pump properly piped
O
No sump pump
4" to 6 "Transition:
_
4wner Signature
Service Lateral Inspection Findings
Room
Poor PiRRe
Mineral deposits
Sag /Pipe Deflection
Damaged Pipe
J j }
Total
am
Time __. ,o p
Correctly
Incorrectly
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:
Number Discharged
Unknown
White Copy: Property Owner
Record Number
Time r- ,7 • _ ' pm
w .. 7
y ' 1 ' T�
Phone A l
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L.. at - --
I
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
(% 7
J 1
. )
47"
Yellow Copy: City of Eagan
I
°'.'final Cleanout:
N ote s Jj / ('
VT
2 Via.
Pink Copy: SFH
A