4601 Fairway Hills Dr - Inspection Form0
. City al Fa as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name
m i 'c:_2- Disk #
RID Number Jt
} I 1
House Number -� = Street Name '� t � �i \,/k2 V 1 f 11 f --, ... r �
_..
Alternative Mailing Address Phone (< ` r -:_` .2
I
OwnerfOccupant Signature
it
4" to 6" Transition:
For information call 651.470.2788
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
Time
Service Lateral Inspection Findings
White Copy: Property Owner
.2 T7-9)
am
�— pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Inspector Signature A/
Entered S L at
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
NotFs
-' ,_ .r ' :'
x;
x,
111.1-'9 ' C �: y } ". .1 ,,f. „,
; .- '7 — ') ” 1 ' c °^.. =
Total
Sump pumps
`>
ct 'C
3 C .r ju g _ 7
Foundation drains
Roof drains
0
. City al Fa as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name
m i 'c:_2- Disk #
RID Number Jt
} I 1
House Number -� = Street Name '� t � �i \,/k2 V 1 f 11 f --, ... r �
_..
Alternative Mailing Address Phone (< ` r -:_` .2
I
OwnerfOccupant Signature
it
4" to 6" Transition:
For information call 651.470.2788
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
Time
Service Lateral Inspection Findings
White Copy: Property Owner
.2 T7-9)
am
�— pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Inspector Signature A/
Entered S L at
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH