2102 Quartz Lane - Inspection FormCompliance
Q No foundation drain connection
yes No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1 sump pump
ir
For information call 651 .470.278$
Non - Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L. at 3 t, %:' �-:-- ' -'�
Roots i `f .. 3 r , '- i -) ..
/ r
PoorPipeJoints
A- > 1
Mineral Deposits ) j-j` / / jT.1 • ,7 i
Sag /Pipe Deflection
Damaged Pipe r - u P
Transition
4" to 6 "Transition: `//, r; , .. y Length .%:` A :.; °- ff
f t� h of Service: 3� Final Cleanout: r`4%�r o
Number
Correctly
Discharged
incorrectly Unknown
Notes
' % , -
a' _') ,.--1,i
Total
Sump pumps
. .
Foundation drains
`
✓ rJ
°- ~... ......
_ _` ___
Roof drains
-
41 of Ch
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 12 /
Name , . M a V , }:1 - 7)././ #
PID Number
House Number
White Copy: Property Owner
• O am
Time • c7c C3 pm
1/2 ;� Street Name
Alternative Mailing Address
Owner /Occupant Signature
0
- 7
Yellow Copy: City of Eagan
Record Number
• ( am
Time • = 1 pm
Phoned< r. :'
r7
T ! / V' �
• v Inspector Signature
Pink Copy: SEH