2026 Jade Lane - Inspection Form 14 City of Iia fl
Residential Sanitary Sewer Service
Compliance Inspection
Date a 1 /1 1 /t2
Name 4. /7
PID Number
House Number
Compliance
o foundation drain connection
No roof drain connection
O`• Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Ii,Q'"No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time :_ p
Disk #
0 ?/ Street Name
Owner /Occupant Signature
0
S
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
Yellow Copy: City of Eagan
Record Number
)0 • / am
Time • J [J O pm
Alternative Mailing Address Phone ( 1 4. 1
f
Inspector Sigiitture
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 0 Entered S L. at , 74C'f( .,"
O Access to service
lateral needed
Roots
Poor Pipe Joints
Mineral Deposits C f"`
SaglPipe Deflection ° - ' I /; .cb,96 ` � o t f' �i
r / r "
Damaged Pipe
Transition C�•ts !. f `� f
Length of Service: 76 ,/° Final Cleanout:
C2 (-`67f47
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes ( CO E/ e' 1/ t ?3 ` 0
K-1'-')'/7/ %
--m
Total
Sump pumps
M.__.N
Foundation drains
--
Roof drains
- °-
4 City of Iia fl
Residential Sanitary Sewer Service
Compliance Inspection
Date a 1 /1 1 /t2
Name 4. /7
PID Number
House Number
Compliance
o foundation drain connection
No roof drain connection
O`• Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Ii,Q'"No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time :_ p
Disk #
0 ?/ Street Name
Owner /Occupant Signature
0
S
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
Yellow Copy: City of Eagan
Record Number
)0 • / am
Time • J [J O pm
Alternative Mailing Address Phone ( 1 4. 1
f
Inspector Sigiitture
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 0 Entered S L. at , 74C'f( .,"
O Access to service
lateral needed
Roots
Poor Pipe Joints
Mineral Deposits C f"`
SaglPipe Deflection ° - ' I /; .cb,96 ` � o t f' �i
r / r "
Damaged Pipe
Transition C�•ts !. f `� f
Length of Service: 76 ,/° Final Cleanout:
C2 (-`67f47
Pink Copy: SEH