1475 Pinetree Tr - Inspection Form4 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date i
Name
PID Number
House Number ) Street Name
1 I
Ownerl0 u antSgnature
Compliance
O No foundation drain connection
O No roof drain connection
r Sump pit not connected to
sanitary sewer
a ¢ Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to b" Transition:
White Copy: Property Owner
Time
am
p
Disk #
-m
Number of stacks
Length of Service:
1
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
Record Number
Time
Obstruction
Unable to push past
feet
• O am
• O pm
1;.-1r)
'
. , , , l, :ss Phone
Inspector Signature
For information call 651.470.2788
Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes L.
s %- %)" f > .
�? '
- T
'`" '=
'
�.
2
r : - "'_
:
i ce'
i, i--
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
MEM
4 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date i
Name
PID Number
House Number ) Street Name
1 I
Ownerl0 u antSgnature
Compliance
O No foundation drain connection
O No roof drain connection
r Sump pit not connected to
sanitary sewer
a ¢ Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
4" to b" Transition:
White Copy: Property Owner
Time
am
p
Disk #
-m
Number of stacks
Length of Service:
1
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
Record Number
Time
Obstruction
Unable to push past
feet
• O am
• O pm
1;.-1r)
'
. , , , l, :ss Phone
Inspector Signature
For information call 651.470.2788
Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH