1412 Rebecca Lane - Inspection Form11011. o1 E, ii
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date //7 / ) )
Name /7 • • i/ Disk tt L
PID Number
Lit ti
House Number Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
j% am
Time / • 0 pm
i9
Owner /Occupant Signature
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
11
•
Time •
Obstruction
Unable to push past
feet.
Final Clear
l
o am
o pm
Phone
Inspector Signature I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctl
Discharged
Incorrect) Unknown
Notes
S` G' _' _,� -'I_.- -:_._ �_ ; .
f. - ' i f
' 1 y 4 i - r :_ . - = . F .. ff ?_
I r r
)
c l f I / I \ ,_ 'f `m: t
Total
Sump pumps
f ,
s
['c. 17,4,
Foundation drains
Roof drains
���
A
11011. o1 E, ii
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date //7 / ) )
Name /7 • • i/ Disk tt L
PID Number
Lit ti
House Number Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
j% am
Time / • 0 pm
i9
Owner /Occupant Signature
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
11
•
Time •
Obstruction
Unable to push past
feet.
Final Clear
l
o am
o pm
Phone
Inspector Signature I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH