4603 Beacon Hill Ct - Inspection FormCity of liago
Residential Sanitary Sewer Service
Compliance Inspection
/
Date
Name
.7?,(4 Disk #
PID Number
,,57/2
House Number L. Street Name
. —
Alternative Mailing Address
Sag/Pipe Deflection
4" to 6"Transition:
_.? ci am
Time — • b pm
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
b Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Transition
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
au Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
fl
Time
Entered S.L.at
Try
• am
• 0 Pm
Phone IT z )
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
Roots
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Final Cleanout:
Yellow Copy: City of Eagan
•
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
'3 t
i i
.,
i .
"Li , •-•" 2 -( '-' "."' ° , , -... ,,, ' - ' 7 . 1 / ) ._,,' ,-..,-r t,
, ,' --; ..-/ -- -, „--- ,- /,--• ,------, ,
' - ---, ,. ----, _
- ..;': .-- j ; ': 1 L- - /1'`'ic.. l' . 1- ;:3 i',- ,- - 1 , -' 7 ' - -- - (;- - --1---
Total
Sump pumps
A ,-
....
.. t . ,,...,-, r / : I
...- .9 .,,":),,:,---
, / , ,, . 2k
--7 1. , :- , „....- _
Foundation drains
, -
. ,
-, -/- .„„-------_,
-- - -L
/
---,, __
-' --' ?"-...,-- -,./
Roof drains
1
„---
..2
( ka .- €
/1 _, !
City of liago
Residential Sanitary Sewer Service
Compliance Inspection
/
Date
Name
.7?,(4 Disk #
PID Number
,,57/2
House Number L. Street Name
. —
Alternative Mailing Address
Sag/Pipe Deflection
4" to 6"Transition:
_.? ci am
Time — • b pm
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
b Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Transition
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
au Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
fl
Time
Entered S.L.at
Try
• am
• 0 Pm
Phone IT z )
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
Roots
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Final Cleanout:
Yellow Copy: City of Eagan
•
Pink Copy: SEH