1372 Interlachen Dr - Inspection FormCity ai',a as
Residential Sanitary Sewer Service
Compliance Inspection
Date ) ) /
/ t
Name_ � .. ,� i i/ disk #
PID Number
House Number ) f Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
/ Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
•
Time. •
am
Pm
-L
/4 —
OwnerlOccupant Si
I
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
Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
I I Time
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
re'
• O am
• O pm
'1 7) 7
Inspector Signature . I
No Access
O No one in
Entered S,L,at
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
/ fl
Number
Correctly
Notes
Discharged I
Total
Incorrectly
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Sump pumps
1
X
Foundation drains
Roof drains
City ai',a as
Residential Sanitary Sewer Service
Compliance Inspection
Date ) ) /
/ t
Name_ � .. ,� i i/ disk #
PID Number
House Number ) f Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
/ Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
•
Time. •
am
Pm
-L
/4 —
OwnerlOccupant Si
I
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
Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
I I Time
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
re'
• O am
• O pm
'1 7) 7
Inspector Signature . I
No Access
O No one in
Entered S,L,at
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
/ fl