2053 Bluestone Lane - Inspection Form1 City of Ea are
Residential Sanitary Sewer Service
Compliance Inspection
Date OS //9 / /L - ' .
Name Disk F51
�� 7� <'.,�` "�l (�d #
PID Number
House Number r s •
Alternative Mailing Address
r9 1 % 4
,1
Own re /O!cpant Signature
om pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition: Ai /4
White Copy: Pr oper ty Owner
• ` o am
Time • `' pm
,r
J J r
Length of Service:
0
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
Record Number
c
Street Name C> /Z % A.V6 &Li
Time
pone / .
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
O am
Q pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. ` 1 4y (i'
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Notes CQ eke e t; 2
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
te a,.. :
—=- --- -
Foundation drains
—_.
s
Roof drains
----- -
__-
1 City of Ea are
Residential Sanitary Sewer Service
Compliance Inspection
Date OS //9 / /L - ' .
Name Disk F51
�� 7� <'.,�` "�l (�d #
PID Number
House Number r s •
Alternative Mailing Address
r9 1 % 4
,1
Own re /O!cpant Signature
om pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition: Ai /4
White Copy: Pr oper ty Owner
• ` o am
Time • `' pm
,r
J J r
Length of Service:
0
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
Record Number
c
Street Name C> /Z % A.V6 &Li
Time
pone / .
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
O am
Q pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. ` 1 4y (i'
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Notes CQ eke e t; 2
Yellow Copy: City of Eagan Pink Copy: SEH