4830 Shevlin Ct - Inspection FormI /
Date % .� 1.�J / / ; d
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
White Copy: Property Owner
City of Lip!
Residential Sanitary Sewer Service
Compliance Inspection
Name 3�i ,', "r�3�i Disk #
PID Number
House Number � .� Street Name
Own erl6ccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
<.- O am
Time •
p
m
L
Non - Compliance
O Clear water connections to
sanitary sewer.
O Service lateral defects
O Defective manholes
\ a Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number f l
Time
Alternative Mailing Address Phone
Obstruction
Unable to push past
feet
• oam
• 0_pm
r
Inspector Signature
J�.
Final Cleanout:
O Inspection
refused
For information call 651,470.2788
No Access
O No one in
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total "
Notes
, _
j , . . -
a J
_
�
1
:. 1 , - ,� "
r
f . " .
f
f k
,
/6-'7(
;
j
a r .
MIS (.'
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
I /
Date % .� 1.�J / / ; d
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
White Copy: Property Owner
City of Lip!
Residential Sanitary Sewer Service
Compliance Inspection
Name 3�i ,', "r�3�i Disk #
PID Number
House Number � .� Street Name
Own erl6ccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
<.- O am
Time •
p
m
L
Non - Compliance
O Clear water connections to
sanitary sewer.
O Service lateral defects
O Defective manholes
\ a Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number f l
Time
Alternative Mailing Address Phone
Obstruction
Unable to push past
feet
• oam
• 0_pm
r
Inspector Signature
J�.
Final Cleanout:
O Inspection
refused
For information call 651,470.2788
No Access
O No one in
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH