1504 Pinetree Pass - Inspection FormCity ill Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
1/
Date_' _l ,.< / /'i r`
7)
Name
PID Number
House Number
Alternative 'ailingAddrss
'. / a i ,,_M,..r..
Ovnerl Signature
For information call 651.470.2788
Compliance 1
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
? sanitary sewer
Sump pump properly piped
O No sump pump
,:
P ) 4 — Street Name
Service Lateral Inspection Findings
kL )
r`- - O' am
Time , , pm
L
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
I
o am
•
• o prn
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
Inspector Signature J i ,- r v) °I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
if. -, r
,, ,
Total
Sump pumps
V
Ell
Foundation drains
Mil
-- / a
Roof drains
r'',
City ill Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
1/
Date_' _l ,.< / /'i r`
7)
Name
PID Number
House Number
Alternative 'ailingAddrss
'. / a i ,,_M,..r..
Ovnerl Signature
For information call 651.470.2788
Compliance 1
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
? sanitary sewer
Sump pump properly piped
O No sump pump
,:
P ) 4 — Street Name
Service Lateral Inspection Findings
kL )
r`- - O' am
Time , , pm
L
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
I
o am
•
• o prn
Phone
Obstruction
Unable to push past
feet
Final Cleanout:
Inspector Signature J i ,- r v) °I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Pink Copy: SEH