2050 Jade Lane - Inspection Form4
City of Iapo
Residential Sanitary Sewer Service
Compliance inspection
Date Or/ -/ / /
Name 4 'a t /eZtc
PID Number
House Number
Alternative Mailing Address
Ii
v
Owner' /Occup''ant Signature
Compliance
No foundation drain connection
fi b. No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
• ,
Time (' •3O 6 pm
Disk #
C
2 . 1 7.<? ) Street Name ..lr° / / "IV
For information call 651.470.2788
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
Record Number
/i
Time
Obstruction
Unable to push past
feet
c
O am
•
• O pm
Phone t /) )
,ffsector Signature
/
4" to 6 " Transition: / , � 0%' Length of Service: /� Final C €eanout:
No Access
O No one in
Number of stacks / Entered S. I_ at ... T ie
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots —'r , up
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes - °gip .
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Cor rectly
Discharged
Incorrectly
Unknown
Total
Sump pumps
fa/
Foundation drains
-.1�`
---------
-°
°" — --
Roof drains
4
City of Iapo
Residential Sanitary Sewer Service
Compliance inspection
Date Or/ -/ / /
Name 4 'a t /eZtc
PID Number
House Number
Alternative Mailing Address
Ii
v
Owner' /Occup''ant Signature
Compliance
No foundation drain connection
fi b. No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
• ,
Time (' •3O 6 pm
Disk #
C
2 . 1 7.<? ) Street Name ..lr° / / "IV
For information call 651.470.2788
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
Record Number
/i
Time
Obstruction
Unable to push past
feet
c
O am
•
• O pm
Phone t /) )
,ffsector Signature
/
4" to 6 " Transition: / , � 0%' Length of Service: /� Final C €eanout:
No Access
O No one in
Number of stacks / Entered S. I_ at ... T ie
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots —'r , up
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes - °gip .
Yellow Copy: City of Eagan Pink Copy: SEH