4236 Jasper Dr - Inspection FormCity of Eqpt
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name o >7)-2
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
,):5? Sump pit not connected to
sanitary sewer
,. Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i
'Transition
4" to 6"Transition:
•_� am
Time a p pm
Disk #
PCD Number
��- Street Name
0 nw er /Oca ipant ignature
For information call 651.470.2788
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
Number of stacks
Phone
Length of Service:
White Copy: Property Owner
Record Number
_5-0,V am
Time • o pm
Inspector Signature
Obstruction
Unable to push past
feet,
I �
- Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
fr
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Ell
Number
Discharged
Correctly
fri
Incorrectly
Unknown
Sump pumps
Foundation drains
M EI
Roof drains
MI
City of Eqpt
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name o >7)-2
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
,):5? Sump pit not connected to
sanitary sewer
,. Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i
'Transition
4" to 6"Transition:
•_� am
Time a p pm
Disk #
PCD Number
��- Street Name
0 nw er /Oca ipant ignature
For information call 651.470.2788
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
Number of stacks
Phone
Length of Service:
White Copy: Property Owner
Record Number
_5-0,V am
Time • o pm
Inspector Signature
Obstruction
Unable to push past
feet,
I �
- Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
fr
Yellow Copy: City of Eagan Pink Copy: SEH