4693 Beacon Hill Rd - Inspection FormCity f Ea
y n �
Residential Sanitary Sewer Service
Compliance Inspection
'
Date /(„_, „,/ Ir
Name
/);
PID Number
House Number Street Name
Alternative MailingAddress
it
0 wn eriOcc pant Signature
I
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
f l g Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
•
am
pm
w--
Phone 7. - . �
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet.
Entered S L at
Inspector Signature \)
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
0 am
•
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SE H
4.41)(7)
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1 �
Foundation drains
Roof drains
T
City f Ea
y n �
Residential Sanitary Sewer Service
Compliance Inspection
'
Date /(„_, „,/ Ir
Name
/);
PID Number
House Number Street Name
Alternative MailingAddress
it
0 wn eriOcc pant Signature
I
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
f l g Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
•
am
pm
w--
Phone 7. - . �
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet.
Entered S L at
Inspector Signature \)
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
0 am
•
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SE H
4.41)(7)