4696 Fairway Hills Dr - Inspection FormCity ol Lap
Residential Sanitary Sewer Service
Compliance Inspection
I / R )
Date44",./ /
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
4" to 6"Transition:
White Copy: Property Owner
Time )
-
Name , )71,0 rif DiSk
PID Number
)
House Number L Street Name
Owner/Occupant Signature
PM
Alter native Mailing Address
!' •
r ;1
Flexible sump pump piping
'
Non
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer.
Length of Service:
Yellow Copy: Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet.
/
•
7--
0 am
• 0 Pm
oe? T/)j V V
•
Phone —
„L
For information call 651.470.2788
inspector Signature .11/ )6,1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
PoorPipe Joints
Mineral Deposits
1.--
Sag/Pipe Deflection
Damaged Pipe ./:%;
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
(;),,,,-4,--)
., )
/ . i 1 , -
,.." 4
,, —
L. L,----* . 1/ T":::7 / ,.--/— . ..t.., . ...,-..,„
)--°-":------- 2
.,.....- _.
, ,. 7 ::::., ),..17:::, ..."-- I 0 ) (...' ?. ' ' ''''..: 1. 1:
I
z ,4---, .- -,) .. _1 . - 1 ; . i
) ,._.., 4:: , Kii -`. , )(" . ;-.•
e- —
) .___..-
Total
Sump pumps
,/
I
Foundation drains
Roof drains
, ----.
\,./
t
Mill
,.i.:---
City ol Lap
Residential Sanitary Sewer Service
Compliance Inspection
I / R )
Date44",./ /
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
4" to 6"Transition:
White Copy: Property Owner
Time )
-
Name , )71,0 rif DiSk
PID Number
)
House Number L Street Name
Owner/Occupant Signature
PM
Alter native Mailing Address
!' •
r ;1
Flexible sump pump piping
'
Non
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer.
Length of Service:
Yellow Copy: Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet.
/
•
7--
0 am
• 0 Pm
oe? T/)j V V
•
Phone —
„L
For information call 651.470.2788
inspector Signature .11/ )6,1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
PoorPipe Joints
Mineral Deposits
1.--
Sag/Pipe Deflection
Damaged Pipe ./:%;
Transition
Pink Copy: SEH