2018 Bluestone Lane - Inspection FormCity of Ea pit
Residential Sanitary Sewer Service
Compliance Inspection
Date OS; ! / 42
Name Disk # [9
PID Number
1-louse Number ;044 Street Name //h
Alternative Mailing Address
For information call 651.470.2788
Compliance
P , No foundation drain connection
No roof drain connection
1 0/Sump pit not connected to
sanitary sewer
. R / Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L at /19
Roots
Poor Pipe Joints
Mineral Deposits...S(, -
Sag /Pipe Deflection
Damaged Pipe
Transition iAi __. /,.� i ��- � < //41/(7,--1,- /
4" to 6" Transition:
White Copy: Pr operty Owner
Time
OwnerlOccupant Signature
oam
ypm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
7r'
: c' o
Time �� • pTpm
7
pdctor Signature
Obstruction
Unable to push past
feet
// �// "O/ rw
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Correctly Incorrectly
':;Unknown
Notes
__..
Total
Sump pumps
Foundation drains
_ f'
- -"
Roof drains
— - --
City of Ea pit
Residential Sanitary Sewer Service
Compliance Inspection
Date OS; ! / 42
Name Disk # [9
PID Number
1-louse Number ;044 Street Name //h
Alternative Mailing Address
For information call 651.470.2788
Compliance
P , No foundation drain connection
No roof drain connection
1 0/Sump pit not connected to
sanitary sewer
. R / Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L at /19
Roots
Poor Pipe Joints
Mineral Deposits...S(, -
Sag /Pipe Deflection
Damaged Pipe
Transition iAi __. /,.� i ��- � < //41/(7,--1,- /
4" to 6" Transition:
White Copy: Pr operty Owner
Time
OwnerlOccupant Signature
oam
ypm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
7r'
: c' o
Time �� • pTpm
7
pdctor Signature
Obstruction
Unable to push past
feet
// �// "O/ rw
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH