1482 Pinetree Tr - Inspection Form4 My Eaa
Residential Sanitary Sewer Service
Compliance Inspection
'? `
Date
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer/
to Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
Name r Disk #
PID Number
House Number i ce.•''
Owrrequcc7i Pant Signature
Service Lateral Inspection Findings
Street Name
am
/0 pm
Number of stacks
Alternative Mailing Address
•
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
O am
•
• o pm
'
Phone �3 °
. ?...__ ;�> .®?
Inspector Signature A
For information call 6.51.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEFI
Total
Notes ,
//
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--:-T.f.:-.,-,!-.77 . e_
:
—7-.1-.5—
�+
' _ ._
--
7i
y
_ I
.r.; _ 1 '
I ;
r �`,
9
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
---
Roof drains
,
4 My Eaa
Residential Sanitary Sewer Service
Compliance Inspection
'? `
Date
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer/
to Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
Name r Disk #
PID Number
House Number i ce.•''
Owrrequcc7i Pant Signature
Service Lateral Inspection Findings
Street Name
am
/0 pm
Number of stacks
Alternative Mailing Address
•
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
O am
•
• o pm
'
Phone �3 °
. ?...__ ;�> .®?
Inspector Signature A
For information call 6.51.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEFI