1496 Pinetree Tr - Inspection FormCity of Epp
Residential Sanitary Sewer Service
Compliance inspection
Date ) I
Name h'
PID Number
House Number
Alternative Mailing Address
Roots
I
Compliance
O No foundation drain connection
O No roof drain connection
C3, Sump pit not connected to
sanitary sewer
�.j
Q Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
77 6
S � 1
� �� o
Time • pm
OwnerlOccupant Signature
Disk # ...m,.,,�LtJ
Street Name _ j ,J "`' - �• =�r� i
For information tall 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 Entered S . at
Length of Service:
Record Number
Obstruction
Notes
Phone .� ° °'" G
Unable to push past
feet
f----1 t
O am
•
Time • - o pm
Inspector Signature \
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
}
Foundation drains
Roof drains
;
�
City of Epp
Residential Sanitary Sewer Service
Compliance inspection
Date ) I
Name h'
PID Number
House Number
Alternative Mailing Address
Roots
I
Compliance
O No foundation drain connection
O No roof drain connection
C3, Sump pit not connected to
sanitary sewer
�.j
Q Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
77 6
S � 1
� �� o
Time • pm
OwnerlOccupant Signature
Disk # ...m,.,,�LtJ
Street Name _ j ,J "`' - �• =�r� i
For information tall 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 Entered S . at
Length of Service:
Record Number
Obstruction
Notes
Phone .� ° °'" G
Unable to push past
feet
f----1 t
O am
•
Time • - o pm
Inspector Signature \
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH