4881 Steeplechase Way - Inspection FormCit oi'to ll
Y � a
Residential Sanitary Sewer Service
Compliance Inspection
i1 `;!
Date ? Time
I R
Name Ip�'t�r'��r' ? /�ri:'k#
PID Number
House Number ) Street Name
(�,: - -' r
f
Alternative Mailing Address Phone ✓ "- , m ( ---
- - ,-" '
Compliance
O No foundation drain connection
O No roof drain connection
9 Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Own /Occupan Signature
j •,_:3 ,,� am
• pm
Length of Service:
J
For information call 651.470.2788
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
O am
•
• o pm
Inspector Signature L
Final Cleanout:
!/4.
No Access
O 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
Number
Correctly
Discharged
Incorrectly Unknown
Notes
".._ "" - i f `'
! ' _.. r j , ° � f ,' ,
-, :r i
( _ � fir' f:. .d" ✓.., -_
Total
Sump pumps
i t
Foundation drains
1111
-f,
Roof drains
Cit oi'to ll
Y � a
Residential Sanitary Sewer Service
Compliance Inspection
i1 `;!
Date ? Time
I R
Name Ip�'t�r'��r' ? /�ri:'k#
PID Number
House Number ) Street Name
(�,: - -' r
f
Alternative Mailing Address Phone ✓ "- , m ( ---
- - ,-" '
Compliance
O No foundation drain connection
O No roof drain connection
9 Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Own /Occupan Signature
j •,_:3 ,,� am
• pm
Length of Service:
J
For information call 651.470.2788
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
O am
•
• o pm
Inspector Signature L
Final Cleanout:
!/4.
No Access
O 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