1416 Rebecca Lane - Inspection Form41116 ",.__. Cil or Emu
�
Residential Sanitary Sewer Service
Compliance Inspection
Date eL/
Name 1 ! e Disk#
House Number
Alt
PID Number
f
rrfatrce Mailing Address
II
0• am
Time �• ; pm
Street Name
m
�.... - °^ '"""° Vnrerlbccupant Signature (.j
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 " Transition:
White Copy: Property Owner
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
Length of Service:
Yellow Copy: City of Eagan
Record Number -77
Time
Phone
Obstruction
Unable to push past
feet
Inspector Signature +, Jr:
Final Cleanout:
• = -E
• 0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly Unknown
Notes
! u "• a,7.5f ,_ - 7,.- -- ' j,:— ' , • -- ,,-
,,_.„.41,-- , - � - � . s�... --4 7 " :-" °M'
1
�� / 1.1 �) r� , W --- . ,� ✓ ' -;
t�r "-
Total
S ump pumps
_.'.«— 4,,..4.
.. � r � '
�
Foundation drains
Roof drains
41116 ",.__. Cil or Emu
�
Residential Sanitary Sewer Service
Compliance Inspection
Date eL/
Name 1 ! e Disk#
House Number
Alt
PID Number
f
rrfatrce Mailing Address
II
0• am
Time �• ; pm
Street Name
m
�.... - °^ '"""° Vnrerlbccupant Signature (.j
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 " Transition:
White Copy: Property Owner
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
Length of Service:
Yellow Copy: City of Eagan
Record Number -77
Time
Phone
Obstruction
Unable to push past
feet
Inspector Signature +, Jr:
Final Cleanout:
• = -E
• 0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH