2137 Jade Pt - Inspection Form41111. City ai to
Residential Sanitary Sewer Service
Compliance Inspection
am'
Date / 0 13 J
Name
PID Number
Compliance
1 . No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
s
/IC( No sump pump
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection -
Damaged Pipe
(li r
Transition
4" to 6" Transition:
White Copy: Property Owner
Time •302 am
(
• pm
Disk #
House Number / i.
Alternative Mailing Address
1/ i ° - '� #l t r1 I ' . ? � r O
: Qw Signature
r
Street Name
5
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
Service Lateral Inspection Findings /dumber of stacks
Roots i ) L. . --
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
Time J � •
Inspector Signature
Obstruction
Unable to push past
feet
Entered S.L.at
1 t 7
f J / I Final Cleanout:
0 am
r�T pm
Phone ��,
I -� 7: -- ,)
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
'?
6
Number
Discharged
Correctly
incorrectly
Unknown
--1
- j1
V
Sump pumps
( i
Foundation drains
7 `�
Roof drains
41111. City ai to
Residential Sanitary Sewer Service
Compliance Inspection
am'
Date / 0 13 J
Name
PID Number
Compliance
1 . No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
s
/IC( No sump pump
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection -
Damaged Pipe
(li r
Transition
4" to 6" Transition:
White Copy: Property Owner
Time •302 am
(
• pm
Disk #
House Number / i.
Alternative Mailing Address
1/ i ° - '� #l t r1 I ' . ? � r O
: Qw Signature
r
Street Name
5
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
Service Lateral Inspection Findings /dumber of stacks
Roots i ) L. . --
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
Time J � •
Inspector Signature
Obstruction
Unable to push past
feet
Entered S.L.at
1 t 7
f J / I Final Cleanout:
0 am
r�T pm
Phone ��,
I -� 7: -- ,)
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH