2029 Opal Pl - Inspection Form4
i
fay of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Date 71) , .)(1
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Fndings
Roots 7
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I j 4
Transition --f f
4" to 6" Transition:
7e(Disk #
? ff /-' f
f
,,,/," /
Owne Occupant Signature (;
7
White Copy: Property Owner
x•62 Dam
Time I • Pm
Street Name
Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
0
Yellow Copy: City of Eagan
Record Number
Entered S L, at
1
am
ime • prn
Phone / ] >) -
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
Number Discharged
Notes
ca
Total Correctly Incorrectly Unknown
MIMI
( ---
Sump pumps
Foundation drains
Roof .drains
4
i
fay of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Date 71) , .)(1
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Fndings
Roots 7
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I j 4
Transition --f f
4" to 6" Transition:
7e(Disk #
? ff /-' f
f
,,,/," /
Owne Occupant Signature (;
7
White Copy: Property Owner
x•62 Dam
Time I • Pm
Street Name
Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
0
Yellow Copy: City of Eagan
Record Number
Entered S L, at
1
am
ime • prn
Phone / ] >) -
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH