4648 Pinetree Curve - Inspection FormCil of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
o No foundation drain connection
No roof drain connection
CC Sump pit not connected to
jsanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
4 am
Time • pm
' OwnerlOccupant Signature
Non - Compliance
O
O
O
0
O
Number of stacks
Length of Service:
MINIM
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Phone
Time
Entered S.L.at
' `' V :
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• O am
• O pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
( f /7) '" r - -
i
1 t
`� �)�
� � "- ' - / eel._ ,/
Total
Sump pumps
'
�
,,,.„,,L--
Foundation drains
Roof drains
7
Cil of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
o No foundation drain connection
No roof drain connection
CC Sump pit not connected to
jsanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
4 am
Time • pm
' OwnerlOccupant Signature
Non - Compliance
O
O
O
0
O
Number of stacks
Length of Service:
MINIM
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Phone
Time
Entered S.L.at
' `' V :
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• O am
• O pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH