2078 Jade Lane - Inspection FormsSump pumps
mfr
. sue✓✓
- _,.. _"..°"_...'m_
_""_ ",� _____
Foundation drains
- - -
- `
Roof drains
.... ._.
City ova ;u
Residential Sanitary Sewer Service
Compliance Inspection
Date 06 / /
NameTic f �
PID Number _
House Number
Alternative Mailing Address
For. information call 651:470.2788
Compliance
O'�1Vo foundation drain connection
0 /
A
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k i ,s, No sump pump
Service
Roots
Poor Joints
4" to b "Transition:
White Copy: Property Owner
Time ' .� � } ,p pm
OwnerlOccupant Signature
Disk #
[pi/ -Cild
Zoi
Street Name
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
1 -►
Time O a .o 1 a m
Phone _ ( '--' org
9 'r
Obstruction
Unable to push past
feet
1 /Spector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
al Inspection Findings Number of stacks / Entered S. L, at e '
tf. , $ J 7 ' , fPI
t
Mineral Deposits
Sag /Pipe Deflection6 / F !
Damaged Pipe
Transition
Total
Number Discharged
Correctly incorrectly Unknown
r,ngth of Service: �, F lea ott: �
Yellow Copy: City of Eagan
Note /1` :
r
Pink Copy: SEH
Sump pumps
mfr
. sue✓✓
- _,.. _"..°"_...'m_
_""_ ",� _____
Foundation drains
- - -
- `
Roof drains
.... ._.
City ova ;u
Residential Sanitary Sewer Service
Compliance Inspection
Date 06 / /
NameTic f �
PID Number _
House Number
Alternative Mailing Address
For. information call 651:470.2788
Compliance
O'�1Vo foundation drain connection
0 /
A
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k i ,s, No sump pump
Service
Roots
Poor Joints
4" to b "Transition:
White Copy: Property Owner
Time ' .� � } ,p pm
OwnerlOccupant Signature
Disk #
[pi/ -Cild
Zoi
Street Name
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
1 -►
Time O a .o 1 a m
Phone _ ( '--' org
9 'r
Obstruction
Unable to push past
feet
1 /Spector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
al Inspection Findings Number of stacks / Entered S. L, at e '
tf. , $ J 7 ' , fPI
t
Mineral Deposits
Sag /Pipe Deflection6 / F !
Damaged Pipe
Transition
Total
Number Discharged
Correctly incorrectly Unknown
r,ngth of Service: �, F lea ott: �
Yellow Copy: City of Eagan
Note /1` :
r
Pink Copy: SEH