4845 Eriks Blvd - Inspection Form41. City at Pa o
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ✓
House Number
PID Number
4" to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
�\ °•ti w�} Disk #
) 9 .';. ¥am
Time / / • /o pm
Street Name
OwnerIDcup`ant Signature
rrn
Number of stacks
Length of Service:
Record Number
Time
•
o am
o pm
Alternative Mailing Address Phone ,4' 1:: C)
Insp ector Signature � > J j 1'
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
Obstruction
Unable to push past
feet
Entered S. L at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
`,.
=WM
MEM
Foundation drains
Roof drains
41. City at Pa o
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ✓
House Number
PID Number
4" to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
�\ °•ti w�} Disk #
) 9 .';. ¥am
Time / / • /o pm
Street Name
OwnerIDcup`ant Signature
rrn
Number of stacks
Length of Service:
Record Number
Time
•
o am
o pm
Alternative Mailing Address Phone ,4' 1:: C)
Insp ector Signature � > J j 1'
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
Obstruction
Unable to push past
feet
Entered S. L at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH