4664 Pinetree Curve - Inspection FormCif [if Cain
Residential Sanitary Sewer Service
Compliance Inspection
/
Date ! /
Name n ) /1
7
PID Number
House Number Street Name
Alternative°Mailinga€t ress �'
i/
Sump pit not connected to
sanitary sewer
9) Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
741k_ am
Time • pm
. Disk # W �..
'•Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
Yellow Copy: City of Eagan
Phone n _ io :.')�.Sj
Entered S L.at
Notes
Time
Obstruction
Unable to push past
feet
•
• O pm
0 am
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
4
r >
P
Foundation drains
Roof drains
Cif [if Cain
Residential Sanitary Sewer Service
Compliance Inspection
/
Date ! /
Name n ) /1
7
PID Number
House Number Street Name
Alternative°Mailinga€t ress �'
i/
Sump pit not connected to
sanitary sewer
9) Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
741k_ am
Time • pm
. Disk # W �..
'•Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
Yellow Copy: City of Eagan
Phone n _ io :.')�.Sj
Entered S L.at
Notes
Time
Obstruction
Unable to push past
feet
•
• O pm
0 am
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH