2167 Garnet Dr - Inspection FormsCity of Cap'
Residential Sanitary Sewer Service
Compliance Inspection
Date CI , t_r I
Name J lf/6.( FI /3V,40 Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
"k No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/O No sump pump
4" to 6" Transition: d
2/‘7
White Copy: Property Owner
Time /-r:
c7
OwnerlOccupant Signature
Street Name 446q7 rqt
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O f=lexible sump pump piping
Record Number
CZirCf 57 of Service: f 'JtI ,
• am
Time / •
Phone (X g 7 - 2 /9,P - i'
. 1/
7 % Inspector Signature
For information call 651.470.2788
Obstruction
Un Ie to push past
feet
No Access
O No one in
Entered S. at J c, _ f
Final Cleanout: 442
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
Roots /4---
Poor Pipe Joints
Mineral Deposits? r} `
Sag /Pipe Deflection
Damaged Pipe
Transition -''. 67i1- r c w 7
4
Yellow Copy: City of Eagan Tz5 Pink Copy: SEH
Total
INotes � q evfree l°- 'y,-= °';%,=,
� _., /Li -7,-,
/V l / ,
( °4ST
1/4144 ' ' /../A.7 r:;._3 "l%ilr- l ,..
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
J
�` f
Foundation drains
Roof drains
- . - • - '�
__--
City of Cap'
Residential Sanitary Sewer Service
Compliance Inspection
Date CI , t_r I
Name J lf/6.( FI /3V,40 Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
"k No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/O No sump pump
4" to 6" Transition: d
2/‘7
White Copy: Property Owner
Time /-r:
c7
OwnerlOccupant Signature
Street Name 446q7 rqt
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O f=lexible sump pump piping
Record Number
CZirCf 57 of Service: f 'JtI ,
• am
Time / •
Phone (X g 7 - 2 /9,P - i'
. 1/
7 % Inspector Signature
For information call 651.470.2788
Obstruction
Un Ie to push past
feet
No Access
O No one in
Entered S. at J c, _ f
Final Cleanout: 442
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
Roots /4---
Poor Pipe Joints
Mineral Deposits? r} `
Sag /Pipe Deflection
Damaged Pipe
Transition -''. 67i1- r c w 7
4
Yellow Copy: City of Eagan Tz5 Pink Copy: SEH
10 My of kaa
Residential Sanitary Sewer Service
Compliance Inspection
Date C2
Name ir % : i' F 7f .. n Disk #
P1D Number
House Number 2./,<'. Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
p , No sump pump
4" to 6 "Transition:
White Copy: Property Owner
s . am
; lime 'f' e /fi o p
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots < ,/ v ; ' (/-) b
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
/ �gy ° am
Time t •
Pho ne —
/ ///
♦ v ,
/inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Nrber of stacks / Entered S.L.ar
Length of Service:
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: AJ
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes 4
i . '?J/ t, / mss.,_ , ,1 ,41 p
.--- 1 _ /
Lc- •K. f if ((1, . � ( C. i t � i 't /
Total
Sump pumps
, ♦
---
-- -_..._
Foundation drains
_._ .....__.
Roof drains
s�
..._._...._._
10 My of kaa
Residential Sanitary Sewer Service
Compliance Inspection
Date C2
Name ir % : i' F 7f .. n Disk #
P1D Number
House Number 2./,<'. Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
p , No sump pump
4" to 6 "Transition:
White Copy: Property Owner
s . am
; lime 'f' e /fi o p
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots < ,/ v ; ' (/-) b
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
/ �gy ° am
Time t •
Pho ne —
/ ///
♦ v ,
/inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Nrber of stacks / Entered S.L.ar
Length of Service:
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: AJ
Pink Copy: SEH