2109 Quartz Lane - Inspection FormCity a1 Eaaau
Residential Sanitary Sewer Service
Compliance Inspection
Date fl l 23 /2
Name 2.i✓ffu' -)�0 ( cm- /r .- Disk #
PID Number
House Number 7/ ', I
Alternative Mailing Address
1 47
OwnerlOccupant S
Compliance
No foundation drain connection
ya No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Transition °
White Copy: Property Owner
Ci am
ey�
Tim� � am
O
0
0
3
2
3
Street Name // 7 Z,
Phone ( 3 o
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots Zt 1 m 6Yt
Poor Pipe]oints
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe
C/,,/ Pic, c
1
4" to 6 "Transition: { a b, ,i Length of Service:
6
Yellow Copy: City of Eagan
Record Number
D
l � f l 0 $ am
Time : ` p'pm
1
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L. at S';')
Final Cleanout:
? i� o? 7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
vr�t r /'6C r ya
Total
Notes .�. ( . , �?� UCE
[` o'
,--.
ir'' /'' °:- /c--
rte ,��
,
Number
Discharged
Incorrectly
Unknown
Sump pumps
�.
®
-- __....� �-_
Foundation drains
Roof drains
.
�"' .....
City a1 Eaaau
Residential Sanitary Sewer Service
Compliance Inspection
Date fl l 23 /2
Name 2.i✓ffu' -)�0 ( cm- /r .- Disk #
PID Number
House Number 7/ ', I
Alternative Mailing Address
1 47
OwnerlOccupant S
Compliance
No foundation drain connection
ya No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Transition °
White Copy: Property Owner
Ci am
ey�
Tim� � am
O
0
0
3
2
3
Street Name // 7 Z,
Phone ( 3 o
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots Zt 1 m 6Yt
Poor Pipe]oints
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe
C/,,/ Pic, c
1
4" to 6 "Transition: { a b, ,i Length of Service:
6
Yellow Copy: City of Eagan
Record Number
D
l � f l 0 $ am
Time : ` p'pm
1
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L. at S';')
Final Cleanout:
? i� o? 7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
vr�t r /'6C r ya