2057 Garnet Lane - Inspection FormCity of
Residential Sanitary Sewer Service
Compliance Inspection
4
Date OA 4 /
Name /st
PID Number
House Number Z%`:.S 2 Street Name 4
Alternative Mailing Address
Roots
For information call 651.470.2788
Compliance
O No foundation drain connection
/0 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection — 2/71.5jA
Damaged Pipe C' '01: -
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner
,1 /-- Disk #
Owner /Occupant Signature
• *6m
Time • fi��J '0 pm
0
L
0
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
° Length of Service: PC'
Yellow Copy: City of Eagan
Record Number
c
,)
Time
•
am
0 pm
f _.
Phone t'
J I /inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Entered S.L. at :1.
O Access to service
lateral needed
FinaI Cleanoutt
Pink Copy: SEH
Number
Correctly
Discharged
Notes
e l
> e l l . ` ej � `2 c;`
/ _ )7 r-t..-
Total
Incorrectly
Unknown
Sump pumps
r `'�
Foundation drains
- .e
drains
r Roof
..._ .....�
�- _..- _- _
- a..._—
City of
Residential Sanitary Sewer Service
Compliance Inspection
4
Date OA 4 /
Name /st
PID Number
House Number Z%`:.S 2 Street Name 4
Alternative Mailing Address
Roots
For information call 651.470.2788
Compliance
O No foundation drain connection
/0 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection — 2/71.5jA
Damaged Pipe C' '01: -
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner
,1 /-- Disk #
Owner /Occupant Signature
• *6m
Time • fi��J '0 pm
0
L
0
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
° Length of Service: PC'
Yellow Copy: City of Eagan
Record Number
c
,)
Time
•
am
0 pm
f _.
Phone t'
J I /inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Entered S.L. at :1.
O Access to service
lateral needed
FinaI Cleanoutt
Pink Copy: SEH