845 Great Oaks Tr - Inspection FormDate
Name
4" to b "Transition:
City �l
Residential Sanitary Sewer Service
Compliance Inspection
11 7(1 Time ar
�y�
7E?/(V % C 'C Ai: `? Disk #
PID Number
House Number ? Street Name (7/1,4:11 e'>f
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
White Copy: Property Owner
0
iram
0 pm
— d
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 . `
s h n e _ ( ) 'J rr 7
/?
f i
am
Time Oti • o pm
Inspector Signature
For information call 6514170.2788
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 1 Entered S L at f # 57%V( cJ
Roots
Poor Pipe Joints
Mineral Deposits_
/ r
Sag /Pipe Deflection "'
Damaged Pipe
O
Transition . -t!r_ S{ ' �'
Li
,.
Fina Cleanclut:
t‘i PAM
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Notes - irr.4, / -A-' �'-' , -ter 2 -:/ 1;
Total
Unknown
f ° S�IaZor." `�:�r' /7 f, A,-o C z GC
0'i� (94r,")
- --V6!/ ) A.' /E.. a? 1
1 TeXr ' f K 6 ef)
',zo / I / ✓'•' ✓"l �f I �� / f
Sump pumps
s
Foundation drains
�.
—_._
�.�
Roof drains
(
(
i i is it- 7-. - -, flr
V S
Date
Name
4" to b "Transition:
City �l
Residential Sanitary Sewer Service
Compliance Inspection
11 7(1 Time ar
�y�
7E?/(V % C 'C Ai: `? Disk #
PID Number
House Number ? Street Name (7/1,4:11 e'>f
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
White Copy: Property Owner
0
iram
0 pm
— d
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 . `
s h n e _ ( ) 'J rr 7
/?
f i
am
Time Oti • o pm
Inspector Signature
For information call 6514170.2788
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 1 Entered S L at f # 57%V( cJ
Roots
Poor Pipe Joints
Mineral Deposits_
/ r
Sag /Pipe Deflection "'
Damaged Pipe
O
Transition . -t!r_ S{ ' �'
Li
,.
Fina Cleanclut:
t‘i PAM
Pink Copy: SEH
�l }� of aR,ail
Residential Sanitary Sewer Service
Compliance Inspection
Date
; Name
PID Number
House Number ` Street Name
Alter native Mailing Addr ess
Compliance
No foundation drain connection
'No roof drain connection
/fj `,ire
t>1/ je1-gi,fj,,fi ?d,'` Disk #
I
'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
OwnerlOccupant Signature
Service Lateral inspection Findings
White Copy: Property Owner
a / A
r L am
Time -{I • o pm
0
Damaged Pipe
Transition ri 1 ( 1
" i
C .1
Non - Compliance
Length of Service:
[1J
r
Record Number
Time : r U am
J O pm
P /) ?Y
Inspector Signature
For information call 65 470.2788
Obstruction
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
Number of stacks 7 Entered 5 L. at ;;;44
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
No Access
O No one in
O Inspection
refused
�;
Final Cleanaut:
O Access to service
lateral needed
Notes a 1 - , _r'�
4 A/kv A70 /7 (5/2-
04,/ iw),Al
CA.,/ t ;>
( Gioz - 1 - 6,(''r / K
S } / r/r % ?( f
Yellow Copy: City of Fagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1
1
Foundation drains
r
X...7
____
---
Roof drains
�l }� of aR,ail
Residential Sanitary Sewer Service
Compliance Inspection
Date
; Name
PID Number
House Number ` Street Name
Alter native Mailing Addr ess
Compliance
No foundation drain connection
'No roof drain connection
/fj `,ire
t>1/ je1-gi,fj,,fi ?d,'` Disk #
I
'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
OwnerlOccupant Signature
Service Lateral inspection Findings
White Copy: Property Owner
a / A
r L am
Time -{I • o pm
0
Damaged Pipe
Transition ri 1 ( 1
" i
C .1
Non - Compliance
Length of Service:
[1J
r
Record Number
Time : r U am
J O pm
P /) ?Y
Inspector Signature
For information call 65 470.2788
Obstruction
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
Number of stacks 7 Entered 5 L. at ;;;44
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
No Access
O No one in
O Inspection
refused
�;
Final Cleanaut:
O Access to service
lateral needed
Notes a 1 - , _r'�
4 A/kv A70 /7 (5/2-
04,/ iw),Al
CA.,/ t ;>
( Gioz - 1 - 6,(''r / K
S } / r/r % ?( f
Yellow Copy: City of Fagan Pink Copy: SEH