4801 Shevlin Ct - Inspection Form4 1b
Residential Sanitary Sewer Service
Compliance Inspection
k
Date ) i / 1 t
Name
1 PID Number
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
t� Sump pit not connected to
sanitary sewer
•
O i Sump pump properly piped
'
O No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Property Owner
�°"°• 1;) ) 0 am
Time, ? i' /5 pm
Disk #
Number of stacks
Record Number
A ,
i House Number r Street Name ~> ? 1 :
Alternative Mailing Address G !� / �'' . '''N
Phone
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
Obstruction
Unable to push past
feet
- k �,
Final Cieanout:
• O am
• O pm
Inspector Signature d f e / /'
For information call 651.470.2788
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
Transition
Pink Copy: SEH
Total
Notes
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., 4 /
71
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' l � +- 'v y
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- = -2
7 -
9 _ . .
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— 7 (-- -,
:
j _
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
!
Foundation drains
Roof drains
f F-
4 1b
Residential Sanitary Sewer Service
Compliance Inspection
k
Date ) i / 1 t
Name
1 PID Number
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
t� Sump pit not connected to
sanitary sewer
•
O i Sump pump properly piped
'
O No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Property Owner
�°"°• 1;) ) 0 am
Time, ? i' /5 pm
Disk #
Number of stacks
Record Number
A ,
i House Number r Street Name ~> ? 1 :
Alternative Mailing Address G !� / �'' . '''N
Phone
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
Obstruction
Unable to push past
feet
- k �,
Final Cieanout:
• O am
• O pm
Inspector Signature d f e / /'
For information call 651.470.2788
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
Transition
Pink Copy: SEH