1322 St Andrew Blvd - Inspection Form411111. City at ha
ian
Residential Sanitary Sewer Service
Compliance Inspection
Date ) )
Name )
5;9707:2.
)
Disk #
PID Number
House Number 2 ) Street Name
)/2A/ ,
Alternative Mailing Address Phone 777 - .
/ • .
rJ
OWneWOccupanOignature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Property Owner
400. am
Time / • p
-m
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
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
Final Cleanout:
0 am
•
• 0 Pm
Inspector Signature
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
I
,,._ ,.
i .,...
(--),_)
aid
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i
i _
_--;:-+ --yr,-. 7 1::
7
--,
1'\d
v
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
)
C
'
-';,....)._
iio ,
I4-t/.7
Foundation drains
Roof drains
7 ----
—,...)
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411111. City at ha
ian
Residential Sanitary Sewer Service
Compliance Inspection
Date ) )
Name )
5;9707:2.
)
Disk #
PID Number
House Number 2 ) Street Name
)/2A/ ,
Alternative Mailing Address Phone 777 - .
/ • .
rJ
OWneWOccupanOignature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Property Owner
400. am
Time / • p
-m
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
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
Final Cleanout:
0 am
•
• 0 Pm
Inspector Signature
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