4326 Onyx Dr - Inspection FormCity at Casa
Residential Sanitary Sewer Service
Compliance Inspection
Date ( /O
Name
House Number 41/2.7‘
Compliance
O No foundation drain connectio
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,7`No sump pump
_ Lateral inspection Findings
4" to 6 "Transition: /j2c
White Copy: Property Owner
• O am
Time • 4-pm
'r/ Disk #
PID Number
?EA,'
OwnerlOccupant. Signature
0
Street Name t1,
Alternative Mailing Address
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
f .)
Obstruction
Unable to push pas[?
feet
L-0145 t'/
• Z.. o am
• / ol
Inspector Signature
For information call 651.470.2788
Number of stacks 1 Entered S.L. at `TAt ..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection / 7`
' Damaged Pipe
Transition
- Final Cleanout:�,��
Notes — ( 7 '
:a
Pink Copy: SEH
Total
Number Discharged
Correctly
MEM=
TIM
....._...
Incorrectly
_ _w
Unknown
IA
Sump pumps
Foundation drains
i
Roof drains
; X '
/
City at Casa
Residential Sanitary Sewer Service
Compliance Inspection
Date ( /O
Name
House Number 41/2.7‘
Compliance
O No foundation drain connectio
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,7`No sump pump
_ Lateral inspection Findings
4" to 6 "Transition: /j2c
White Copy: Property Owner
• O am
Time • 4-pm
'r/ Disk #
PID Number
?EA,'
OwnerlOccupant. Signature
0
Street Name t1,
Alternative Mailing Address
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
f .)
Obstruction
Unable to push pas[?
feet
L-0145 t'/
• Z.. o am
• / ol
Inspector Signature
For information call 651.470.2788
Number of stacks 1 Entered S.L. at `TAt ..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection / 7`
' Damaged Pipe
Transition
- Final Cleanout:�,��
Notes — ( 7 '
:a
Pink Copy: SEH