2167 Garnet Dr - Inspection Form 1
Residential Sanitary Sewer Service
City I Ir Compliance Inspection
tt~~ i • O am f
Date 1~!'z 1 Ifr Time r pm Record Number !
/ O am t
NameDisk# =is ~l3 Time
PID Number
• Street Name
House Number,
Alternative Mailing Address Phone
6wnerl0ccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
sanitary sewer _ feet O Access to service
No roof drain connection
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
& No sump pump O Flexible sump pump piping
Entered S. L, at _ -~r°~ ; -
Service Lateral Inspection Finding. Number, of stacks
Roots
Poor-Pipejoints _
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
~ !l/ j; ,rte
f r
4" to 6 Transition: Length of Service: ' " Final Cleanout:
Notes.
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
^,4
Roof drains
n, .
Pink Copy: Property Cnvner Yellow Copy: City of Eagan Copy: SEH