1504 Pinetree Tr - Inspection Form"b.
City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Date ; 4
„
,
Name r< #
PID Number
House Number Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
0 Sump pit not connected to
sanitary sewer
/ 1z5 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
4" to 6"Transition:
White Copy: Pi opei ty Owner
Time
OwnerlOccupant Signature
am
O pm
Number of stacks
)
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
Phone 7"
Obstruction
Unable to push past
feet
o am
•
• o prn
No Access
O No one in
inspector Signature .hj 2,1
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copp SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
-->- , ...,1
. — -.r. -.......„ --■ 7 .. , . ' '
. ..
1 - 7 T 1 ,,..
--- I, ./
- .)/ri /4/ (1_.. _...„, ,
Total
Sump pumps
111111111111111.1
Foundation drains
Roof drains
"b.
City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Date ; 4
„
,
Name r< #
PID Number
House Number Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
0 Sump pit not connected to
sanitary sewer
/ 1z5 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
4" to 6"Transition:
White Copy: Pi opei ty Owner
Time
OwnerlOccupant Signature
am
O pm
Number of stacks
)
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
Phone 7"
Obstruction
Unable to push past
feet
o am
•
• o prn
No Access
O No one in
inspector Signature .hj 2,1
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copp SEH