4817 Shevlin Ct - Inspection Form411*
City of bap
Residential Sanitary Sewer Service
Compliance Inspection
Date ,/
Name )"--
4” to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
• Sump pit not connected to
sanitary sewer
p Sump pump properly piped
O No sump purnp
White Copy: Pi °pet ty Owner
Time •
Disk #
pm
PID Number
Rouse Number / Street Name
Alternative Mailing Address Phone
Owner/Occupant Signature
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
Service Lateral Inspection Findings Number of stacks. Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
7 - 777
Obstruction
Unable to push past
feet
0 am
•
• 0 Pm
Inspector Signature „ NI
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Su pumps •
-11
..,
Foundation drains
Roof drains
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411*
City of bap
Residential Sanitary Sewer Service
Compliance Inspection
Date ,/
Name )"--
4” to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
• Sump pit not connected to
sanitary sewer
p Sump pump properly piped
O No sump purnp
White Copy: Pi °pet ty Owner
Time •
Disk #
pm
PID Number
Rouse Number / Street Name
Alternative Mailing Address Phone
Owner/Occupant Signature
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
Service Lateral Inspection Findings Number of stacks. Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
7 - 777
Obstruction
Unable to push past
feet
0 am
•
• 0 Pm
Inspector Signature „ NI
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH