1525 Pinetree Tr - Inspection FormSump pumps
Foundation drains
Roof drains
7-----
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C tj oF Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date )
4" to 6" Transition:
14'
Name
7) ?
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Total
0 am
Pm
Time 7
Disk #
PID Number
House Number Number / "Th Street Name
Alternative Mailing Address
Owner/Occupant Signature
L
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
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Notes
Correctly Incorrectly Unknown
Number Discharged
Yellow Copy: City of Eagan
Record Number
Time
J
Obstruction
Unable to push past
feet
Entered S L at
•
•
'
1 . 7 11 1
)
Phone .
Inspector Signature f:// ' • ./
I
Final Cleanout:
O am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SE H