2095 Garnet Lane - Inspection FormCityi' i;a afl
Residential Sanitary Sewer Service
Compliance Inspection
Date 67 f1 /2 1
Name (
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
0 No foundation drain connection
Q No roof drain connection
,O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
J •
Time / • $ am a pm
Disk #
Owner /Occupant Signature
4v/et
C)
7
Service Lateral Inspection Findings Number of stacks
Roots 75 .76 c ,$ �7 . S S•
Length of Service:
Yellow Copy: City of Eagan
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 _ 7
• rn
Time • o pm
Phone
% ?) X/2 ✓6;
f r,. Inspector Signature
For information call 651.470.2788
{
Entered S L at - M.
Poor Pipe Joints
Mineral Deposits 7n •. •`- i"""
SaglPipe Deflection
Damaged Pipe
Transition vi JJ",./ � / 4 ✓ I -/C " ° og f 7° Zi/i.. - t✓ / 41,7,
Obstruction
Unable to push past
feet
No Access
O No one in
O Access CO service
lateral needed
O Inspection
refused
Final Cleanout: r f
Pink Copy: SEH
Total
Notes °
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t
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Cityi' i;a afl
Residential Sanitary Sewer Service
Compliance Inspection
Date 67 f1 /2 1
Name (
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
0 No foundation drain connection
Q No roof drain connection
,O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
J •
Time / • $ am a pm
Disk #
Owner /Occupant Signature
4v/et
C)
7
Service Lateral Inspection Findings Number of stacks
Roots 75 .76 c ,$ �7 . S S•
Length of Service:
Yellow Copy: City of Eagan
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 _ 7
• rn
Time • o pm
Phone
% ?) X/2 ✓6;
f r,. Inspector Signature
For information call 651.470.2788
{
Entered S L at - M.
Poor Pipe Joints
Mineral Deposits 7n •. •`- i"""
SaglPipe Deflection
Damaged Pipe
Transition vi JJ",./ � / 4 ✓ I -/C " ° og f 7° Zi/i.. - t✓ / 41,7,
Obstruction
Unable to push past
feet
No Access
O No one in
O Access CO service
lateral needed
O Inspection
refused
Final Cleanout: r f
Pink Copy: SEH