2017 Bluestone Lane - Inspection Forms• City of End as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 C 1 /0 Time i • U gr
f
Name
Alternative Mailing Address
House Number 2G
PID Number
Compliance
7/No foundation drain connection
.0( No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Disk #
Service Lateral Inspection Findings
White Copy: Property Owner
0
,A I _ 2 , s `
OwnerlOccupant Signature
K2
Street Name 72 .. V ./-4/
P hone
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 1
/,Y -`4"
1'
Record Number
C
Notes
/ Inspector Signature
Obstruction
Unable to push past
feet,
Entered S Lat
o am
Time ) • •� 05m
'9J
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Mineral Deposits P ?5 j ! 76-S
SaglPipe Deflection -0 — L/ / • .5
Damaged Pipe
i
Transition / /A/ / vn� / VC // ' � �' : C7 1 ..
LIIJ' tid J � :� i 7 --
'
4" to 6 " Transition: Length of Service: ! Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
m,..
�.,._` "'
Foundation drains
621
�� _.
•----- -- °- °-
Roof drains
• City of End as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 C 1 /0 Time i • U gr
f
Name
Alternative Mailing Address
House Number 2G
PID Number
Compliance
7/No foundation drain connection
.0( No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Disk #
Service Lateral Inspection Findings
White Copy: Property Owner
0
,A I _ 2 , s `
OwnerlOccupant Signature
K2
Street Name 72 .. V ./-4/
P hone
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 1
/,Y -`4"
1'
Record Number
C
Notes
/ Inspector Signature
Obstruction
Unable to push past
feet,
Entered S Lat
o am
Time ) • •� 05m
'9J
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Mineral Deposits P ?5 j ! 76-S
SaglPipe Deflection -0 — L/ / • .5
Damaged Pipe
i
Transition / /A/ / vn� / VC // ' � �' : C7 1 ..
LIIJ' tid J � :� i 7 --
'
4" to 6 " Transition: Length of Service: ! Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH