2045 Jade Lane - Inspection FormSump pumps
tom,
Foundation drains
Roof drains
8
City of tail
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / tr
Name . / \ ' )9/
PID Number
House Number
Alternative Mailing Address
1 } 1 %✓(4 41 r. s
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
J '
Transition
4" to 6" Transition:
White Copy: Property Owner
Time ':.< •
Disk#
Street Name
Owner /Occupant Signatu
Compliance
No foundation drain connection
C i
} No roof drain connection
p' Sump pit not connected to
sanitary sewer
Surnp pump properly piped
O No sump pump
Service Lateral Inspection Findings
d
Roots
am
pm
Length of Service:
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 ` •
Phone (/) 1_, .
Inspector Signature
For information call 651A70.2788
Obstruction
Unable to push past
feet.
Number of stacks ?' Entered S L at
3 %'i Final Cleanout:
am
16 Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/.
Number Discharged
Total Correctly
Incorrectly Unknown
Notes
Pink Copy: SEH