2098 Opal Dr - Inspection FormCity of FAB')
Residential Sanitary Sewer Service
Compliance Inspection
Date , 1 7/ )7.?
PID Number
Name
Time
Disk #
House Number. 7 — Street Name
f
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
IJH
1
Yellow Copy: City of Eagan
Record Number `I
ime �•� pm
Phone
lnspectergnature
:1
Pink Copy: SEH
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
1 No sump pump
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection
-
Findings
'7 �
Number of stacks
r � ,_ -
1 C/ f r / -
Entered S.L at -
(,- --'' �-
. " Y r .�
/ � om J
Roots )
, (
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition v .)
, i V a. / - 1) Y ...L..
...,
/
4" to 6 "Transition: Length of Service:
gt
-f ..;L-
7
Final Cleanout:
Notes
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
s`
tJ
Roof drains
City of FAB')
Residential Sanitary Sewer Service
Compliance Inspection
Date , 1 7/ )7.?
PID Number
Name
Time
Disk #
House Number. 7 — Street Name
f
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
IJH
1
Yellow Copy: City of Eagan
Record Number `I
ime �•� pm
Phone
lnspectergnature
:1
Pink Copy: SEH