2124 Garnet Dr - Inspection FormCity fib' Ego
Residential Sanitary Sewer Service
Compliance Inspection
• am
Datee /7._ / _..._ ,/ Time • ' /g pm
Name a..117 Disk # •
PIP Number
House Number
Sump pit not connected to
• sanitary sewer
Sump pump properly piped
0 No sump pump
Mineral Deposits
4" to 6 "Transition:
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
i/
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Sag /Pipe Deflection
Damaged Pipe
ey.
Transition
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
"� am
. Time ) pm
Alternative Mailing Address Phone CC) -C / —(144-g6)
Inspector Signature
For information call 651.410.2788
Obstruction
Unable to push past
feet
Yellow Copy: City of Eagar 0 ✓44`'5
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at - '2 % �_ -�;�;
Length of Service: .41« Final Cleanout: r _J-� _ 5)
Pink Copy: SEH
Number Discharged
Notes
i °
2[ , 7 Cl'Vl f "� / y) "- ,
, ' � i .5-- r',- 1
` ' _ _ ,;
1
''?-)-- Z ., '1 c- f �' '- / _ /y)
Total
Correctly
incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
0
' 1:-: : C-- - 17 '?; ) C. i /4:: rd t
City fib' Ego
Residential Sanitary Sewer Service
Compliance Inspection
• am
Datee /7._ / _..._ ,/ Time • ' /g pm
Name a..117 Disk # •
PIP Number
House Number
Sump pit not connected to
• sanitary sewer
Sump pump properly piped
0 No sump pump
Mineral Deposits
4" to 6 "Transition:
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
i/
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Sag /Pipe Deflection
Damaged Pipe
ey.
Transition
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
"� am
. Time ) pm
Alternative Mailing Address Phone CC) -C / —(144-g6)
Inspector Signature
For information call 651.410.2788
Obstruction
Unable to push past
feet
Yellow Copy: City of Eagar 0 ✓44`'5
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at - '2 % �_ -�;�;
Length of Service: .41« Final Cleanout: r _J-� _ 5)
Pink Copy: SEH