4664 Fairway Hills Dr - Inspection Form161 City f Ea
Y ai �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1' 1
-
r
Name �a' . )r,?. Disk #
PID Number
House Number i� -?" Street Name
Alternathe Mailing Address
r ;
f
Compliance
O No foundation drain connection
O No roof drain connection
i' Sump pit not connected to
sanitary sewer
m Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time •
6wner10ccupant Signature
am
pm
W-
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
Number of stacks Entered S.L.at
I
Obstruction
Unable to push past
feet
Final Cleanout:
p am
•
• O pm
Phone
F� -f
Inspec tor Signature ? 7
For information call 651.470.2788
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
Total
Notes
1
c . - == _ ._ ,i .. {
:1 - .---,31.)
.,a,3—
:.. L )7? o\ y
44:
: . '
(
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
161 City f Ea
Y ai �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1' 1
-
r
Name �a' . )r,?. Disk #
PID Number
House Number i� -?" Street Name
Alternathe Mailing Address
r ;
f
Compliance
O No foundation drain connection
O No roof drain connection
i' Sump pit not connected to
sanitary sewer
m Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time •
6wner10ccupant Signature
am
pm
W-
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
Number of stacks Entered S.L.at
I
Obstruction
Unable to push past
feet
Final Cleanout:
p am
•
• O pm
Phone
F� -f
Inspec tor Signature ? 7
For information call 651.470.2788
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