2145 Sapphire Lane - Inspection FormCita of l';a i 1
Residential .Sanitary Sewer .Service
Compliance Inspection
Date Af./ JO
Name UI/l4,,,
PID Number
House Number
Street Name
P
Alternative MailingAddress r b ) - Pho el
17-1 } / f VIA
Compliance
CA No foundation drain connection
0 No roof drain connection
Sump pit not connected to
\ sanitary sewer
'KS ump pump properly piped
0 No sump pump
4" to b "Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Owner /Oceupan( Sg
Total
x
o a
Time l- 0 s Vm m
Disk #
For information call -651A70.2788
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits,
Sag /Pipe Deflection
Damaged 7 e
r
Transition /''; 0 f 't
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
Number Discharged
Correctly
_kid -L )
Length of Service:
Incorrectly
Unknown
Record Number
L Time
! inspector Signature
Obstruction
Unable to push past
feet
Notes
2! : pm
Entered S . at -3 �r�� .
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout,L� ;
Yellow Copy: City of Fagan Pink Copy: SFH
`. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 51
PID Number.
Name Disk #
,
House Number , / l Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
arn
Time ---f —• pm
OwnerlOccupant Signature
For information call 651.47
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
Service Lateral inspection Findings Number of stacks Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 ".Transition:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Time
Ph -�-
Jr ;\)v..../ e — J
otes
inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cieanout:
o am r ,;• / J
•
•
Opmp f
`(") -7, %
No Access
0 No one in
Qu-)
Access to service
--fateral. eded
s
1
O inspection
refused
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
MEI
IIII Foundation
drains
Roof drains - _
IN
`. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 51
PID Number.
Name Disk #
,
House Number , / l Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
arn
Time ---f —• pm
OwnerlOccupant Signature
For information call 651.47
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
Service Lateral inspection Findings Number of stacks Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 ".Transition:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Time
Ph -�-
Jr ;\)v..../ e — J
otes
inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cieanout:
o am r ,;• / J
•
•
Opmp f
`(") -7, %
No Access
0 No one in
Qu-)
Access to service
--fateral. eded
s
1
O inspection
refused
Pink Copy: SEH