2065 Bluestone Dr E - Inspection Form
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Residential Sanitary Sewer Service
city I p Compliance Inspection
Dare-,Z./ wo:l i > Time o pm Record Number
Name i r"31~!s Ir!~i;r~~Disk# r' Time O pm
PID Number _
House Number' -Street Name
Alternative Mailing Address Phone
L, =_~2r t
M OwnerlOccupdnt`Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water' connections to Unable to push past O No one in
O~ No roof drain connection sanitary sewer _ feet
O Access to service
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,
'Or/No sump pump O Flexible sump pump piping
service Lateral Inspection Findings Number of stacks Entered S.L. at
Roofs
Poor Pipe joints _ _
Mineral Deposits -
SaglPipe Deflection _
Damaged Pipe _ %j
1
Transition . 1` ,-)/,I i.,.
4" to 6"Transition: Length of Service: Final Cleanout:
Notes
Number •
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Proper ty Owner Yeflow Copy: City of Eagan Pink Copy: SEH