2038 Bluestone Lane - Inspection FormCity of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
ti • O am
Date (. _ 1 ') (1 / {f Time •_ _ p ,
Name 2J(' fi % Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651 .470.2788
Compliance
No foundation drain connection
t. No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
t ,43 / No sump pump
4" to 6" Transition:
Owner)
cupant Signature
r7
o t'i Street Name , i ('' z:,_ �i''s. rr
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
Service Lateral Inspection Findings Number of stacks 1 Entered S.L at r % c 2?'
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe {-
Transition (A../ f /44
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
0
1
I • oeam
Time • m
Phone 7
Ipspi Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: 79, ( i Final Cleanout: �.
Notes 69 e'vc -g °.
t
4, f_, t
` c ?Ic )
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
- _,_.
Foundation drains
Roof drains
%
_, .
.....__ ..._.__.
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
ti • O am
Date (. _ 1 ') (1 / {f Time •_ _ p ,
Name 2J(' fi % Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651 .470.2788
Compliance
No foundation drain connection
t. No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
t ,43 / No sump pump
4" to 6" Transition:
Owner)
cupant Signature
r7
o t'i Street Name , i ('' z:,_ �i''s. rr
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
Service Lateral Inspection Findings Number of stacks 1 Entered S.L at r % c 2?'
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe {-
Transition (A../ f /44
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
0
1
I • oeam
Time • m
Phone 7
Ipspi Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: 79, ( i Final Cleanout: �.
Notes 69 e'vc -g °.
t
4, f_, t
` c ?Ic )
Pink Copy: SEH