4391 Onyx Dr - Inspection Form4 or Eagan
Residential Sanitary Sewer Service
Compliance Inspection
r-
Date C' 1
Name 1,4
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
��
`').O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
I tO No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time's • CJ- - ,/ p pm
Disk #
PID Number
Owner /Occupant Signature
0
t}
5
Street Name /2.4/.
; jPhone
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
Service Lateral Inspection Findings Number of stacks 1
Roots s Y{
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe j
Transition 13,v I (4 / 6 1 r i/v F
v
Length of Service: ( ;
Yellow Copy: City of Eagan
0
V
Record Number
r,'1 Time c • / "--
pm
Obstruction
Unable to push past
feet
r ate`
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at 'T /r;, rt
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
iri
Unknown
N otes / ,-7 ,
' (, 2 /, ,'c✓ ' ,,,r_
�.� +
Total
Sump pumps
` '
,M- .---
•—
Foundation drains
Roof drains
°'
___ _._m._._._..,,._
4 or Eagan
Residential Sanitary Sewer Service
Compliance Inspection
r-
Date C' 1
Name 1,4
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
��
`').O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
I tO No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time's • CJ- - ,/ p pm
Disk #
PID Number
Owner /Occupant Signature
0
t}
5
Street Name /2.4/.
; jPhone
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
Service Lateral Inspection Findings Number of stacks 1
Roots s Y{
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe j
Transition 13,v I (4 / 6 1 r i/v F
v
Length of Service: ( ;
Yellow Copy: City of Eagan
0
V
Record Number
r,'1 Time c • / "--
pm
Obstruction
Unable to push past
feet
r ate`
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at 'T /r;, rt
Final Cleanout:
Pink Copy: SEH