4289 Amber Dr - Inspection Form41110. - Ct Dr bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date / °;" 1 /2
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Ser=vice Lateral Inspection Findings
Roots 6
4" to 6" Transition:
White Copy: Property Owner
•
Time • -
Name ,s'� C1 cf:// C t Disk
PID Number
Street Name
Owner /Occupant Signature
0 am
.ES' prn
0
Number of stacks
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 Length of Ser vice:
Record Number
/ y • 5 0 ern
Time • dpm
Phone / c//l ,f f „° 2
f Inspector Signature
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
/1
i "
Obstruction
Unable to push past
feet
Entered S. L. at
Notes 1
j j
Final Cleanaut :/ f O/ L./
w ,V�
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
` :o
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
' y
Roof drains
lil
- ---- - --
41110. - Ct Dr bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date / °;" 1 /2
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Ser=vice Lateral Inspection Findings
Roots 6
4" to 6" Transition:
White Copy: Property Owner
•
Time • -
Name ,s'� C1 cf:// C t Disk
PID Number
Street Name
Owner /Occupant Signature
0 am
.ES' prn
0
Number of stacks
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 Length of Ser vice:
Record Number
/ y • 5 0 ern
Time • dpm
Phone / c//l ,f f „° 2
f Inspector Signature
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
/1
i "
Obstruction
Unable to push past
feet
Entered S. L. at
Notes 1
j j
Final Cleanaut :/ f O/ L./
w ,V�
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
` :o
Yellow Copy: City of Eagan Pink Copy: SEH