2066 Bluestone Dr E - Inspection Form41111. City of Ea pi
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date 2'l CX/l ICS Time /':?
Name �° j Disk #
l Vl
PID Number
House Number 206i Street Name
Alternative Mailing Address
Transition
Compliance
No foundation drain connection
PC roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
P :No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
Ai Ia / 4 /7/v (,"'
5
Non - Compliance
Ser vice Lateral Inspection Findings Number of stacks
Record Number
J �i / • fg m
Time J 9 • . m
Pir n e
For information call 651.470.2788
Length of Service: / 7 ('
Yellow Copy: City of Eagan
/Inspector Signature
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
No Access
O No one in
Entered S L. at _,,'7 ift': ( ,
r
Final Cleanout: /4
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits 4
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
MEI=
---
Roof drains
•�
r —_ _._
_ _ -
41111. City of Ea pi
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date 2'l CX/l ICS Time /':?
Name �° j Disk #
l Vl
PID Number
House Number 206i Street Name
Alternative Mailing Address
Transition
Compliance
No foundation drain connection
PC roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
P :No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
Ai Ia / 4 /7/v (,"'
5
Non - Compliance
Ser vice Lateral Inspection Findings Number of stacks
Record Number
J �i / • fg m
Time J 9 • . m
Pir n e
For information call 651.470.2788
Length of Service: / 7 ('
Yellow Copy: City of Eagan
/Inspector Signature
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
No Access
O No one in
Entered S L. at _,,'7 ift': ( ,
r
Final Cleanout: /4
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits 4
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH