4688 Fairway Hills Dr - Inspection Form4 1 , 111. City of Fa a]
Residential Sanitary Sewer Service
Compliance Inspection
Date $ / 1 / )
i
Name )
r ` : Disk#
5
PID Number
House Number r Street Name
Alternative Mailing Address Phone -
D
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
m Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
am
Time 5 • pm
OwnerC Occunt 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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
0 a
•
• O pm
Inspector Signature j1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
1
-2 it
� . r a ,.:. , t i ? _ 7.A, --
c ..
: - ,. 1 j `., �J e, ,2 ` . 1
Total
Sump pumps
1111111
Foundation drains
---
Roof drains
) 1111
4 1 , 111. City of Fa a]
Residential Sanitary Sewer Service
Compliance Inspection
Date $ / 1 / )
i
Name )
r ` : Disk#
5
PID Number
House Number r Street Name
Alternative Mailing Address Phone -
D
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
m Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
am
Time 5 • pm
OwnerC Occunt 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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
0 a
•
• O pm
Inspector Signature j1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH