2022 Bluestone Lane - Inspection FormSump pumps
>
Foundation drains
, /1
Roof drains
41W City or 1a an
Residential Sanitary Sewer Service
Compliance Inspection
Date/
Name
PID Number
House Number -
Owner ccupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
1. sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks
4" to 6" Transition:
White Copy: Property Owner
% • iv )4 am
Time k. i • O pm
Disk #
lJ
r)
/ Street Name f
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
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
F
•
(_0). O pm
;1y
� °"
Alternative Mailing Address Phone r., ' /
r inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition L-;� i a7 7 -L 7 - 72? G I (.1'-; - - '-r-
Notes
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1r)
Yellow Copy: City of Eagan Pink Copy: SEH