2028 Opal Pl - Inspection FormCity of Ea ao
Residential Sanitary Sewer Service
Compliance Inspection
Date e / >
Name 6/2 /f/ X AWO
PID Number
House Number g2Z C{'
r
Alternative MailingAddress
/UV
Corpliance
O'No foundation drain connection
rO No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
c3 No sump pump
Time / • • iG' " o p m
Disk #
Owner /Occupant Signature
Street Name (2PAt
For information call 65 1.470.2788
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 Number of stacks
Roots ] 0(7 c : f='
Poor Pipe Joints
Mineral Deposits 1•
Sag /Pipe Deflection 7S'
` / i 1�t' l �/ rt C�/ F/ �� � �:•' 1 v'
Damaged Pipe
Transition
4" to 6"T r ansition : // ▪ ,,,
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
} • p am
Time / , • . Ti o pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ,�i✓�
Pink Copy: SEH
Total
Notes - ' , v y, 7,,
N, '
'-/ w Z� " J.S-
. - 1 fr� 'I�C `;
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
! __
�..__._...—. - -._-
-,
Roof drains
.. _ ----
_• -- -- ,— ____..
_ - -_
City of Ea ao
Residential Sanitary Sewer Service
Compliance Inspection
Date e / >
Name 6/2 /f/ X AWO
PID Number
House Number g2Z C{'
r
Alternative MailingAddress
/UV
Corpliance
O'No foundation drain connection
rO No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
c3 No sump pump
Time / • • iG' " o p m
Disk #
Owner /Occupant Signature
Street Name (2PAt
For information call 65 1.470.2788
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 Number of stacks
Roots ] 0(7 c : f='
Poor Pipe Joints
Mineral Deposits 1•
Sag /Pipe Deflection 7S'
` / i 1�t' l �/ rt C�/ F/ �� � �:•' 1 v'
Damaged Pipe
Transition
4" to 6"T r ansition : // ▪ ,,,
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
} • p am
Time / , • . Ti o pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ,�i✓�
Pink Copy: SEH