3715 South Hills Lane - Inspection Form10 111fr City of Earl
Residential Sanitary Sewer Service
Compliance Inspection
Date / I
�
Disk #
PID Number
House Number _ .`T) / I Street Name
Alternative Mailing Address
II
i f/: / 7 /
ti( No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
7 !/
•
Owner ccupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
Service Lateral inspection Findings
i ce • i%�'
Time • pm
am
1
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
Number of stacks 7
Yellow Copy: City of Eagan
Record Number
J1�
lJ/
t7
Time
Phone
f �
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L, at "*"...3 t ' '
Roots
f f /J
Poor PipeJoints - / ' " "i -c, , / yr"L ' c " ° l '=-7 ::7
,; V )
Mineral Deposits . '" <...::: _;.;. e.). _ .-- -±;--;<. - - „�',: ::- :- : , -.,z - ff ?- .4 1. 70
i
I l -�- ...../ .'!�>r ,f ;�, 9 '/ F �.�...7� _. /G '"_ter -':
�- f ✓` "< i - ^ - 'r .. _ f' —� n
� C
`' i . , �i Length of Service: Final Cleanout:
it
f7• 11
• a am
• i O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
N otes
.. ,
G �3 I .,1, 1,�>� ``J L ;a�? , „p
; `7 '_.,, i :v
-1 ,. "-
j r.� " .y�
w- _
Total
Incorrectly
Unknown
Sump pumps
(
Foundation drains
J;
Roof drains
-))
10 111fr City of Earl
Residential Sanitary Sewer Service
Compliance Inspection
Date / I
�
Disk #
PID Number
House Number _ .`T) / I Street Name
Alternative Mailing Address
II
i f/: / 7 /
ti( No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
7 !/
•
Owner ccupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
Service Lateral inspection Findings
i ce • i%�'
Time • pm
am
1
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
Number of stacks 7
Yellow Copy: City of Eagan
Record Number
J1�
lJ/
t7
Time
Phone
f �
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L, at "*"...3 t ' '
Roots
f f /J
Poor PipeJoints - / ' " "i -c, , / yr"L ' c " ° l '=-7 ::7
,; V )
Mineral Deposits . '" <...::: _;.;. e.). _ .-- -±;--;<. - - „�',: ::- :- : , -.,z - ff ?- .4 1. 70
i
I l -�- ...../ .'!�>r ,f ;�, 9 '/ F �.�...7� _. /G '"_ter -':
�- f ✓` "< i - ^ - 'r .. _ f' —� n
� C
`' i . , �i Length of Service: Final Cleanout:
it
f7• 11
• a am
• i O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH