1348 Interlachen Dr - Inspection Form111 City of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name U
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
Transition
4" to 6" Transition:
White Copy: Property Owner
1 I(1 Time •
Disk # L___..L.____i
PID Number
House Number ,. ) Street Name
Alternative MailingAddress
7/A
Owner /Occupant Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
p am
Pm
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I �^
/' i / ✓J� t r
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time
•
•
Phone /.. )
Final Cleanout:
o am
o pm
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH
Number
Correctly
Discharged
Notes
( . „,/ — ) < -. !,.. ' ?; �/
, '�`„ = . 0 `
J ,
- - ' {
c
Total
Incorrectly
Unknown
Sump pumps
i
f'A
r �
Foundation drains
Roof drains
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: �,
ate,. -.` ‘- / ifr
111 City of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name U
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
Transition
4" to 6" Transition:
White Copy: Property Owner
1 I(1 Time •
Disk # L___..L.____i
PID Number
House Number ,. ) Street Name
Alternative MailingAddress
7/A
Owner /Occupant Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
p am
Pm
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I �^
/' i / ✓J� t r
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time
•
•
Phone /.. )
Final Cleanout:
o am
o pm
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH