4710 Beacon Hill Rd - Inspection Form4 11111 ` City of Ia a
y i
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1/
Name
PID Number
House Number
Transition
4" to b" Transition:
wd f 141, m �f7. ►; mP
Ownert0
White Copy: Pr operty Owner
Compliance
O No foundation drain connection
No roof drain connection
ti Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
• (. )( am
Time • i
si
Street Name
epant Signature
pm
Alternative Mailing Address
;\
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
art . d_..�' -i
Lis gtloSerce:
Yellow Copy: City of Eagan
Record Number
Time
I 1
Phone
1
7
• O am
• O pm
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L,.at
Poor Pipe Joints
Mineral Deposits _
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout:
Pink Copy: SEH
1S
Total
Notes
�.
j
i
)
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
# #f
"6-.-A-
Foundation drains
y' q
y '
Roof drains
--- -
4 11111 ` City of Ia a
y i
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1/
Name
PID Number
House Number
Transition
4" to b" Transition:
wd f 141, m �f7. ►; mP
Ownert0
White Copy: Pr operty Owner
Compliance
O No foundation drain connection
No roof drain connection
ti Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
• (. )( am
Time • i
si
Street Name
epant Signature
pm
Alternative Mailing Address
;\
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
art . d_..�' -i
Lis gtloSerce:
Yellow Copy: City of Eagan
Record Number
Time
I 1
Phone
1
7
• O am
• O pm
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L,.at
Poor Pipe Joints
Mineral Deposits _
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout:
Pink Copy: SEH
1S