4759 Cypress Pt - Inspection Form41111110. City al C'a an
y
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
v
PID Number
House Number J4 /' : L L Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Ck Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
1,--""...1./ 1
Owner /Qccupa't f l ure
• p am
_•__ pm
7-
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 I ®
Time
• O am
• 0 P
Phone %-
Entered S L at
Inspector Signature ) \/
Obstruction
Unable to push past
feet.
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Notes
. -) �? r - .r-- -r
I
-77— F G - Lyl., l��r;.r�--
[ 7.
}
,- In 1; i ;�,� ! if-- f ,'- -2 'x�•f. -!��J --
, ; `i f
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
r
i ° � :
X✓ 7,7-
�,,, fa�1
Foundation drains
7
I
Roof drains
r'
41111110. City al C'a an
y
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
v
PID Number
House Number J4 /' : L L Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Ck Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
1,--""...1./ 1
Owner /Qccupa't f l ure
• p am
_•__ pm
7-
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 I ®
Time
• O am
• 0 P
Phone %-
Entered S L at
Inspector Signature ) \/
Obstruction
Unable to push past
feet.
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH