4800 Shevlin Ct - Inspection FormCity of Fa ap
Y o
Residential Sanitary Sewer Service
Compliance Inspection
Date r
Name
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
) •' cyam
Time • e pm
Disk #
PID Number
House Number .. Street Name
Alternative Mailing Address
Owner /Occupant Signature
MEM
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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
7)
Time
W'� y t
Phone .. ' 1 /
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr r ansition
Pink Copy: SEH
Total
Notes
=' '=- i ;
,.
S
r - 7,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
e
3
Foundation drains
Roof drains
u.1
City of Fa ap
Y o
Residential Sanitary Sewer Service
Compliance Inspection
Date r
Name
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
) •' cyam
Time • e pm
Disk #
PID Number
House Number .. Street Name
Alternative Mailing Address
Owner /Occupant Signature
MEM
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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
7)
Time
W'� y t
Phone .. ' 1 /
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr r ansition
Pink Copy: SEH