2159 Garnet Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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y of Faa
Residential Sanitary Sewer Service
Compliance Inspection
Date -
/
Name r /71;.7-1-1//4/1'
PID Number
House Number
• v 3 f
7 jA
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
P ' No sump pump
d; 1 _/
Disk #
Owner /Occupant Signaturef,_
Service Lateral Inspection Findings
Roots
f
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
:2
Time = •
Street Name
f]
. o am
o pm
..
Alter•r aw<e Mailing Address
Number of stacks
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
dam
Time ( , • %) 0 pm
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered at�!
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Total
Number Discharged
Corr•ectl
Incorrectly Unknown
Notes
Pink Copy: SEH