2116 Garnet Lane - Inspection FormSump pumps
Foundation drains
Roof drains
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City of Eau
Residential Sanitary Sewer Service
Compliance Inspection
Date
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Name Ali »! � ' 7. Disk #
PID Number
House Number ) ( /,' _ Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
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I
Roots
No sump pump
Service Lateral Inspection Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
11;
Transition I
4" to 6" Transition:
White Copy: Property Owner
Time
Ow nerlOccupant Signature
/fir j 0 am
/ pm
Phone yam' i L- A,
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:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
7 / J
Record Number
17: Time
Inspector Signature
Obstruction
Unable to push past
feet
Entered S at
Notes
Final Cleanout:
0 a
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
2 M /1
Pink Copy: SEH
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