1458 Richards Ct - Inspection FormCity ,a re
y � a
Residential Sanitary Sewer Service
Compliance Inspection
Date ) /
Name
—4
Alternative Mailing Address
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
• r ,171%
4'
PID Number
House Number ) 2- i Street Name
•
am
pm
-m
1
Yellow Copy: City of Eagan
Record Number
Time
Phone
CY �It.
.? ,
o am
•
• Q pm
Inspector Signature \ 1 } ,
Pink Copy: SEH
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
' No sump pump
,,k
Non- Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet.
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks
Roots
Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump um s
Foundation drains
Roof drains
�1.r
V i
City ,a re
y � a
Residential Sanitary Sewer Service
Compliance Inspection
Date ) /
Name
—4
Alternative Mailing Address
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
• r ,171%
4'
PID Number
House Number ) 2- i Street Name
•
am
pm
-m
1
Yellow Copy: City of Eagan
Record Number
Time
Phone
CY �It.
.? ,
o am
•
• Q pm
Inspector Signature \ 1 } ,
Pink Copy: SEH