828 Great Oaks Tr - Inspection Form4 11. City of hp
an
Residential Sanitary Sewer Service
Compliance Inspection
J i �� /'•
Date 1 /
Name
PID Number
-? (?
House Number w a , I Street Name
Alternative Mailirig Address-
Compliance
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
Transition
Own er>jOccupant Signature
White Copy: Property Owner
4" to 6" Transition: 7 1 f%'
• • 'L..-- am
Time d') • b pm
Disk #
Yellow Copy: City of Eagan
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
Record Number'
Time •
-
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
i
Roots
PoorPipeJoints
Mineral Deposits i 1
,1
0 pm
am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at ^,
Sag /Pipe Deflection =r? z'
Damaged Pipe i
Length of Service;` n " ' Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
_,Total
Sump pumps
` J'= � �
" "r
L .
Foundation drains
. -)
f r
Roof drains
4 11. City of hp
an
Residential Sanitary Sewer Service
Compliance Inspection
J i �� /'•
Date 1 /
Name
PID Number
-? (?
House Number w a , I Street Name
Alternative Mailirig Address-
Compliance
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
Transition
Own er>jOccupant Signature
White Copy: Property Owner
4" to 6" Transition: 7 1 f%'
• • 'L..-- am
Time d') • b pm
Disk #
Yellow Copy: City of Eagan
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
Record Number'
Time •
-
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
i
Roots
PoorPipeJoints
Mineral Deposits i 1
,1
0 pm
am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S L at ^,
Sag /Pipe Deflection =r? z'
Damaged Pipe i
Length of Service;` n " ' Final Cleanout:
Pink Copy: SEH