2025 Bluestone Lane - Inspection Form41 0 1 - - •
City ol fapit
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
PID Number
House Number
1
White Copy: Property Owner
A
7
,
Time .._ m •
Disk #
"6(vner/Occupanr
o
am
pm
Yellow Copy: City of Eagan
Record Number
/ Street Name k e"
. ..
Alternatiye,iling Address
/ . Phone _ /
•
Time -.. • pm
Inspector Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
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
Number of stacks
Entered Stat
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
ir)
1.2 t Cji /A 7
71
+ - Final Cleanout: 177,7
For information call 651.470.2788
Pink Copy: SEH
Total
Notes
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.. • • Number
Discharged
• .
Correctly
Incorrectly
Unknown
Sump pumps
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Foundation drains
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Roof drains
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41 0 1 - - •
City ol fapit
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
PID Number
House Number
1
White Copy: Property Owner
A
7
,
Time .._ m •
Disk #
"6(vner/Occupanr
o
am
pm
Yellow Copy: City of Eagan
Record Number
/ Street Name k e"
. ..
Alternatiye,iling Address
/ . Phone _ /
•
Time -.. • pm
Inspector Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
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
Number of stacks
Entered Stat
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
ir)
1.2 t Cji /A 7
71
+ - Final Cleanout: 177,7
For information call 651.470.2788
Pink Copy: SEH