2034 Jade Lane - Inspection Form4.0 ' Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / ir` Time
Name fj I /I //'i 1i1
PID Number
House Number
r k
.f-
4" to 6" Transition:
i
C. )
r �.
Alternative Mailing Address --
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
•00 O am
• ` pm
Mineral Deposits '
riS Pipe Deflection /
Damaged Pipe 1
i -, f 1
Transition J -) ! 3 1 r ✓,r, -2
(9
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:
For information call 651.470.2788
Yellow Copy: City of Eagan
Record Number _
Phone
!1
Inspector Signature
Obstruction
Unable to push past
feet
1
Final Cleanout:
f2
• 0 am
• p .;
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L.at -�:? r G�
Roots T
Poor Pipe Joints
Pink Copy: SEH
Number Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Sump pumps
()
Foundation drains
Roof drains
4.0 ' Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / ir` Time
Name fj I /I //'i 1i1
PID Number
House Number
r k
.f-
4" to 6" Transition:
i
C. )
r �.
Alternative Mailing Address --
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
•00 O am
• ` pm
Mineral Deposits '
riS Pipe Deflection /
Damaged Pipe 1
i -, f 1
Transition J -) ! 3 1 r ✓,r, -2
(9
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:
For information call 651.470.2788
Yellow Copy: City of Eagan
Record Number _
Phone
!1
Inspector Signature
Obstruction
Unable to push past
feet
1
Final Cleanout:
f2
• 0 am
• p .;
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L.at -�:? r G�
Roots T
Poor Pipe Joints
Pink Copy: SEH