2134 Garnet Dr - Inspection FormCity of Ca ai
Residential Sanitary Sewer Service
Compliance Inspection
Date ( /71 /
Name 24,/ 7 , E "4 Disk #
PID Number
House Number
/2- 1 Street Name
Alternative Mailing Address
/ am
Time /r9 : l� p p
•' /Owner /Occupant Signature
0
5
-W
For information call 651.470.2788
n p liance Non-Compliance
Flo foundation drain connection 0 Clear water connections to
9 No roof drain connection
r
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
p ii No sump pump
4" to 6" Transition:
White Copy: Property Owner
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
K „ , / ,, A2 - Length of Service:
Yellow Copy: City of Eagan
Record Number
Ld]LE] Time r�'
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L, at //
Service Lateral Inspection Findings Number of stacks
Roots‘:// 4 . ( / �i /,l f
Poor Pipe Joints
Mineral Deposits f
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
io O /am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
Notes
Total
Correctly
Incorrectly
Sump pumps
�—_"---,
Foundation drains
r
_ _ —
__—
Roof drains
City of Ca ai
Residential Sanitary Sewer Service
Compliance Inspection
Date ( /71 /
Name 24,/ 7 , E "4 Disk #
PID Number
House Number
/2- 1 Street Name
Alternative Mailing Address
/ am
Time /r9 : l� p p
•' /Owner /Occupant Signature
0
5
-W
For information call 651.470.2788
n p liance Non-Compliance
Flo foundation drain connection 0 Clear water connections to
9 No roof drain connection
r
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
p ii No sump pump
4" to 6" Transition:
White Copy: Property Owner
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
K „ , / ,, A2 - Length of Service:
Yellow Copy: City of Eagan
Record Number
Ld]LE] Time r�'
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L, at //
Service Lateral Inspection Findings Number of stacks
Roots‘:// 4 . ( / �i /,l f
Poor Pipe Joints
Mineral Deposits f
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
io O /am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH