2034 Bluestone Lane - Inspection Form4 city of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date e0 I ' / 1 /U
Name M'77 ° y =, 0 d Disk #
PID Number
Alternative Mal ngAddress
i // °� )
;OwnerlOccupant Signature
Compliance
No foundation drain connection
O No roof drain connection
!0" Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks
4" to 6 "Transition: A_
White Copy: Property Owner
Time P` ✓C'
' am
0 pm
0
House Number 4 -C 1 c Street Name Zit/I,
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
Record Number
A
ceam
Time f : p pm
P hhne .� J/ S r'`i' } 5
j` -:
/ inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L, at -T s,
Roots
Poor Pipe Joints
Mineral Deposits / 9: . 5 - �
Sag/Pipe Deflection
Damaged Pipe "`' '� /&' i - 7 l Fr
Transition 91 +rV 1 d r C. (
Length of Service: 7) fr. - Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
111111111
Foundation drains
En
�
MEI
Roof drains
4 city of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date e0 I ' / 1 /U
Name M'77 ° y =, 0 d Disk #
PID Number
Alternative Mal ngAddress
i // °� )
;OwnerlOccupant Signature
Compliance
No foundation drain connection
O No roof drain connection
!0" Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks
4" to 6 "Transition: A_
White Copy: Property Owner
Time P` ✓C'
' am
0 pm
0
House Number 4 -C 1 c Street Name Zit/I,
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
Record Number
A
ceam
Time f : p pm
P hhne .� J/ S r'`i' } 5
j` -:
/ inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L, at -T s,
Roots
Poor Pipe Joints
Mineral Deposits / 9: . 5 - �
Sag/Pipe Deflection
Damaged Pipe "`' '� /&' i - 7 l Fr
Transition 91 +rV 1 d r C. (
Length of Service: 7) fr. - Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH