757 Elrene Ct - Inspection Form4111111. of ha a
Residential Sanitary Sewer Service
Compliance Inspection
G� Date„
Nam
PID Number
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
4" to 6 " Transition:
Time
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
Yellow Copy: City of Eagan
L)k
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
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks 1 4 Entered S.h.at c. ::2 . 31 c_.—
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe • i ^? 1 % _ " a g,.
a til
Transition 1 A . %' -- r-� , r s r - u� ° ,.� 1 L- ?. ^•
1 7.'' —
.)_, ,,,....----', 1,...±": ....... 21_ L.. ,....... 7 " ... ,., r f .. _ .), , , ,, r . ), L_)_ , ,..,,,,,, j.„,/,,, ...._ 7_,..)._. 1
L ength of Service: ) ) ! Final Cleanout: )
• o am
Time ) • pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
f )ic }` 2 )j ' X7 7 `
..77 J / `
,._ e == G~-�>
"� ` c `~ ` /
? r �'' f / / 2 . '" ` -
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
-"
G'
Foundation drains`
Roof drains
4111111. of ha a
Residential Sanitary Sewer Service
Compliance Inspection
G� Date„
Nam
PID Number
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
4" to 6 " Transition:
Time
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
Yellow Copy: City of Eagan
L)k
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
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks 1 4 Entered S.h.at c. ::2 . 31 c_.—
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe • i ^? 1 % _ " a g,.
a til
Transition 1 A . %' -- r-� , r s r - u� ° ,.� 1 L- ?. ^•
1 7.'' —
.)_, ,,,....----', 1,...±": ....... 21_ L.. ,....... 7 " ... ,., r f .. _ .), , , ,, r . ), L_)_ , ,..,,,,,, j.„,/,,, ...._ 7_,..)._. 1
L ength of Service: ) ) ! Final Cleanout: )
• o am
Time ) • pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH