2110 Opal Dr - Inspection FormCity or hp
Residential Sanitary Sewer Service
Compliance Inspection
Date (X/ 4.f/
/ /
Name /)A.,//t ( / T Disk #
PID Number -
House Number i 1 Street Name
Alternative Mailing Address
For information call 651.47
Compliance
0-I ' No foundation drain connection
[ No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O' sump pump
Poor Pipe Joints
Mineral Deposits ` { {J
/ �I � y
Sag /Pipe Deflection ..
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Owner /Occupant Signa
�/ f� 1 r , dam
Time 6 �y
Non - Compliance
O
O
O
O
Service Lateral Inspection Findings
Roots
f` (.6 f/ 4
I
O
0
Pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of
Number Discha
Sump pumps
Foundation drains
Roof drains
Total Correctly incorrectly
Yellow Copy: City of Eagan
Record Number
/ Time
•
P one 7 S ,/ i , /� 2
, Inspector Signature
ri
Obstruction
Unable to push past
feet
Entered S L at j 7°t
o am
. pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH