2108 Garnet Lane - Inspection FormSump pumps
Foundation drains
..),(/
Roof drains
- Ci a1 a a
Residential Sanitary Sewer Service
Compliance Inspection
Date_, 1._ 11 / ( Time
Name �n Disk#
PID Number
House Number' )(9g Street Name
Alternative MaiiingAddress
For information call 65 470.2788
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
j \si No sump pump
No roof drain connection
Service Lateral Inspection Findings
Roots ,.
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
j" �
Transition "'
4" to , "Tb r•ansition:
White Copy: Property Owner
Owner/Occupantt Signature
Total
Correctly
am
Pm
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
Number of stacks f ' Entered S.L. at
`) %2 4 ly
Incorrectly
Length of Service:
Number Discharged
Unknown
Yellow Copy: City of Eagan
Record Number 1
• _ 0 a
• - A Pm
Phone
Time
/ 1
1
I jd.
— 7 )
'inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/
r., t f
Final Cleanout; f ) 3 _ /1
Notes t
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f
f' a
/ ...
A 1 ✓
Pink Copy: SEH