2151 Garnet Dr - Inspection Form4 6 .
City of ,p
Residential Sanitary Sewer Service
Compliance Inspection
Date/ l Time
Name t_3 4 -/2
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Disk #
77) Street Name
• } Owner /Occupant Signature
Service Lateral Inspection Findings
Roots .{
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
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
;umber of stacks 4 Entered S.L at
4
o am
pm
Length of Service:
Record Number
Phone
ime / •
Inspector Signature
Obstruction
Unable to push past
feet
Notes
o am
Ai pm
)-4.5
No Access
O No one in
tc—Cp1 FO
O Access to service
lateral needed
O Inspection
refused
,------ •
Final Cleanout:
Yellow Copy: City of Eagan / Pink Copy: SE
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
/r
ter
Roof drains
4 6 .
City of ,p
Residential Sanitary Sewer Service
Compliance Inspection
Date/ l Time
Name t_3 4 -/2
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Disk #
77) Street Name
• } Owner /Occupant Signature
Service Lateral Inspection Findings
Roots .{
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
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
;umber of stacks 4 Entered S.L at
4
o am
pm
Length of Service:
Record Number
Phone
ime / •
Inspector Signature
Obstruction
Unable to push past
feet
Notes
o am
Ai pm
)-4.5
No Access
O No one in
tc—Cp1 FO
O Access to service
lateral needed
O Inspection
refused
,------ •
Final Cleanout:
Yellow Copy: City of Eagan / Pink Copy: SE