2078 Bluestone Dr E - Inspection Form
011~ City Residential Sanitary Sewer Service
I I. • - Inspe ction
Date l o I-, I " ' Time f Pm Record Number,
f' O am
Name Disk # 1 Time _ pm
PID Number,
House Number c ('Street Name J`
-
Alternative Mailing Address - Phone
OwnerlOccupant 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
i, 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,
No sump pump O Flexible sump pump piping
f j,. sue..-~7
Service Lateral Inspection Findings Number of stacks entered 5 L at
Roots" _ r. ?
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe-,
Transition r- ;•;'j ;i - Lj~ i i' ' ~r'1 i1 i p
r
4" to 6" Tr nsition: Length of Service: final Cfeanout: /,-7-t.-
Number Discharged Notes
''t'otal Correctly Incorrectly Unknown
Sump pumps r
Foundation drains
Roof drains.
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH