2087 Opal Dr - Inspection Form441 ! Iityal Ca as
Residential Sanitary Sewer Service
Compliance inspection
sy� Date 47.24/ Time e fo pa ,
Name Disk #
PID Number
r' - )
House Number <"" l/
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks "f Entered S,L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition / =a!
4" to 6" Transition:
White Copy: Propel ty Owner
Street Name
/-/
OwnylOccupant Signature
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:
f
Yellow Copy: City of Eagan
Record Number
Time
Phone
▪ Q am
• 0 pm
Obstruction
Unable to push past
feet
7
Inspector Signature
4
1 Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
--)'
Foundation drains
Roof drains
,
L
-- /
441 ! Iityal Ca as
Residential Sanitary Sewer Service
Compliance inspection
sy� Date 47.24/ Time e fo pa ,
Name Disk #
PID Number
r' - )
House Number <"" l/
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks "f Entered S,L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition / =a!
4" to 6" Transition:
White Copy: Propel ty Owner
Street Name
/-/
OwnylOccupant Signature
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:
f
Yellow Copy: City of Eagan
Record Number
Time
Phone
▪ Q am
• 0 pm
Obstruction
Unable to push past
feet
7
Inspector Signature
4
1 Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH