679 Brentwood Lane - Inspection FormResidential Sanitary Sewer Service
4111 'City of Evan Compliance Inspection
Date / / I 'L
Name
i
House Number
PID Number
Alternative Mailing Address
%
Owner /Occupant Signature
For information call 651.470.2788
Compliance
l f , No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
q No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1 r 1
Transition '` , -- �/ � •
i
� 4" to b" Transition: f
White Copy: Property Owner
• 9 a
Time =� pm
Disk # FrA
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
:�.✓ _ 7
Number of stacks Entered S.L.at
Length of Service:
Yellow Copy: City of Eagan
Record Number
1'1
ime • Or
.174
Phone )~ _ � 1 17 x °,•;�
Inspector Signature
Obstruction
Unable to push past
feet
j. Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
Roof drains
' ' I
Residential Sanitary Sewer Service
4111 'City of Evan Compliance Inspection
Date / / I 'L
Name
i
House Number
PID Number
Alternative Mailing Address
%
Owner /Occupant Signature
For information call 651.470.2788
Compliance
l f , No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
q No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1 r 1
Transition '` , -- �/ � •
i
� 4" to b" Transition: f
White Copy: Property Owner
• 9 a
Time =� pm
Disk # FrA
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
:�.✓ _ 7
Number of stacks Entered S.L.at
Length of Service:
Yellow Copy: City of Eagan
Record Number
1'1
ime • Or
.174
Phone )~ _ � 1 17 x °,•;�
Inspector Signature
Obstruction
Unable to push past
feet
j. Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH