2061 Garnet Lane - Inspection FormCity of Dian
Residential Sanitary Sewer Service
Compliance Inspection
Date or // / it
Name? ` -�f -'! Disk #
PID Number
House Number 2.047
Alternative Mailing Address
X 9'!%14./..1- er.( - -` -. -, -, „, ..,- --'iJ
Ow ner / Signature
For information call 651.470.2788
Compliance
O` No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time o P-
0
Street Name 4 /
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4” to 6" Transition: / /2cii/ /( 6, Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
0
Time /1 • s
Phone
7 . Inspector Signature
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Obstruction
Unable to push past
feet
(1r,' "- 2 e
0 am
m
Entered S,L,at
Final Cleanout:
Pink Copy: SEH
Total
Notes r
�` :'1'�1a '
' !(0 l '°t..
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
'
_-
Foundation drains
04
1111H
MI
Roof drains
City of Dian
Residential Sanitary Sewer Service
Compliance Inspection
Date or // / it
Name? ` -�f -'! Disk #
PID Number
House Number 2.047
Alternative Mailing Address
X 9'!%14./..1- er.( - -` -. -, -, „, ..,- --'iJ
Ow ner / Signature
For information call 651.470.2788
Compliance
O` No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time o P-
0
Street Name 4 /
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4” to 6" Transition: / /2cii/ /( 6, Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
0
Time /1 • s
Phone
7 . Inspector Signature
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Obstruction
Unable to push past
feet
(1r,' "- 2 e
0 am
m
Entered S,L,at
Final Cleanout:
Pink Copy: SEH