765 Elrene Ct - Inspection Form4 101-
City of Ca p°
Residential Sanitary Sewer Service
Compliance Inspection
Dated l._ : 1 P ` Time •
Name ) l.F °r / .; ! j Disk #
PID Number
House Number
Alternative Mailing Address
777 Street Name
Owner /Occupant Signature
r' O am
Pm
Record Number
c - ? am
Time • O pm
Phone s -
Inspector Signature
For information call 651.470.2788
Compliance
O 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
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
s', f 1
4" to 6" Transition:
Transition
White Copy: Property Owner
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
%
I%
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S: ' =,•..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Notfs
`` ' ") ` R ��l ` / , %'r -
.. ) % '' ,, --.. rte_
}
{ - F"-
C j '
Total
Incorrectly
Unknown
Sump pumps
-
`, '
`"
Foundation drains
Roof drains
f ,
r
4 101-
City of Ca p°
Residential Sanitary Sewer Service
Compliance Inspection
Dated l._ : 1 P ` Time •
Name ) l.F °r / .; ! j Disk #
PID Number
House Number
Alternative Mailing Address
777 Street Name
Owner /Occupant Signature
r' O am
Pm
Record Number
c - ? am
Time • O pm
Phone s -
Inspector Signature
For information call 651.470.2788
Compliance
O 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
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
s', f 1
4" to 6" Transition:
Transition
White Copy: Property Owner
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
%
I%
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S: ' =,•..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH