3529 Great Oaks Pl - Inspection FormCity of Fa ao
Residential Sanitary Sewer Service
Compliance Inspection
Date %°' I - 1 if /
Name J_ d / --'‘'
PID Number
House Number
Compliance
O. No foundation drain connection
4" to 6" Transition:
•
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
p2 l Street Name
Ownerl0c(cupant Signature
Time {.
Disk #
/` p am
a•�_ pm
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•, L O am
a
• — Pm
) e '7.--,-.
Alternative Mailing Address Phone ,:- ) ° r - . 5 / ). __ i
For information call 651.470.2788
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
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks ` 3 Entered S.L at 4)(` " ?t r . " "
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition ." 3 ` i r > 1 -: , 2 a 4
� � a
J i I
11
t-- Final Cleanout:. -,
Pink Copy: SEH
Number Discharged
Notes
t
-' - "
ota)
Correctly
Incorrectly
Unknown
Sump pumps
-
°y J
/
J
Foundation drains
/ 1
Roof drains
'
L
City of Fa ao
Residential Sanitary Sewer Service
Compliance Inspection
Date %°' I - 1 if /
Name J_ d / --'‘'
PID Number
House Number
Compliance
O. No foundation drain connection
4" to 6" Transition:
•
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
p2 l Street Name
Ownerl0c(cupant Signature
Time {.
Disk #
/` p am
a•�_ pm
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•, L O am
a
• — Pm
) e '7.--,-.
Alternative Mailing Address Phone ,:- ) ° r - . 5 / ). __ i
For information call 651.470.2788
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
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks ` 3 Entered S.L at 4)(` " ?t r . " "
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition ." 3 ` i r > 1 -: , 2 a 4
� � a
J i I
11
t-- Final Cleanout:. -,
Pink Copy: SEH