4616 Fairway Hills Dr - Inspection Form4 of hp
Residential Sanitary Sewer Service
Compliance Inspection
) :7 I ,..7)
Date / IC/'
Name ;
Compliance
O No foundation drain connection
• No roof drain connection
1 6 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
) • d" 9 am
Time • ) 1 Pm
Disk #
PID Number
House Number K Street Name
Owner/Occupant Signature
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Alternative Mailing Address Phone t.
Obstruction
Unable to push past
feet
Final Cleanout:
7
o am
•
• 0 pm
1"
. ,
Inspector Si gnature ; /
1 A •
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered SL at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
;
C .
m
Nuber
Correctly
Discharged
Notes
' /0)
■-2 7 ,
..1,. .....:) i !, ,
...-- _ -
-....---7).-t.-- A . ,,p,.
i
-......,;,-
....7t,„. i
/ .,° -- - ■1 -9 - - 2 L ' ----,
' L ' ' "' -rm' I ? ' r ' / /7 t) '''-
Total
Incorrectly
Unknown
Sump pumps
4 1 -
1 '---,
i ...--- - ''° - '1 7 :;)
---) .,„--. - ."1
/1 „,,,,
i i it--'
__...4..., 7
).->-" ;
Atj7
-:').. L,
Foundation drains
I i q/
J-/::.
i
/
Roof drains
,-..,
( •
/
V)
4 of hp
Residential Sanitary Sewer Service
Compliance Inspection
) :7 I ,..7)
Date / IC/'
Name ;
Compliance
O No foundation drain connection
• No roof drain connection
1 6 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
) • d" 9 am
Time • ) 1 Pm
Disk #
PID Number
House Number K Street Name
Owner/Occupant Signature
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Alternative Mailing Address Phone t.
Obstruction
Unable to push past
feet
Final Cleanout:
7
o am
•
• 0 pm
1"
. ,
Inspector Si gnature ; /
1 A •
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered SL at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
;
C .