4648 Fairway Hills Dr - Inspection Form4 City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
Date )
Name
Disk #.Fri _�
f
PID Number
House Number Street Name
Alternative Mailing Address
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
4" to 6 " Transition:
I
White Copy: Property Owner
.�,.
arn
Time • pin
'fl w{��rfOccupant Signature
I
r�f
T_]
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
,<---, � ; _��. � C
•
Time •
I<=
Inspector Signature
O am
O pm
}
•
. 1 Map-7'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
/ }
2
-�
-•z.
)
�
�?
i ���
�'`
■
� •,
,'!.i'�'!t""�_
//
.rte, �/
•
% , ji
n
G ✓ -y° /r # e- 'I
Num
ber Discharged
Correctly
Incorrectly Unknown
Sump pumps
_s
!:
o },r
f
. �
r --
� fJ/
1 P'
Foundation drains
Roof drains
4 City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
Date )
Name
Disk #.Fri _�
f
PID Number
House Number Street Name
Alternative Mailing Address
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
4" to 6 " Transition:
I
White Copy: Property Owner
.�,.
arn
Time • pin
'fl w{��rfOccupant Signature
I
r�f
T_]
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
,<---, � ; _��. � C
•
Time •
I<=
Inspector Signature
O am
O pm
}
•
. 1 Map-7'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH