2163 Garnet Dr - Inspection FormsSump pumps
` _'
Foundation drains
Roof drains
rCity off.ba as
Residential Sanitary Sewer Service
Compliance Inspection
Date ( !. 1 Ir
• ,f) 7
Name ? '1 J � � / /)
HD Number
House Number
Alternative Mailing Address
For. information :call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
al/No sump pump
Service Lateral inspection Findin
Roots / 1
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition 2 -1-- / . j / I2 ' ; ''!
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
Total
• am
Time .. 7 • pm
Disk #
Street Name
rte)
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
s
Numb,5r of stacks 4 Entered S.L at
2 7
1- -
Length of Service: >
Number. Discharged
Correctly
Incorrectly
Unknown
Yellow Copy: City of Eagan C i
Record Number
Time
—0/
Phones-
.s-
lnsS'ector Signature
Obstruction
Unable to push past
feet
i
r -
•
•
) .e
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
r
Notes
1 d L
'c /° Pink Copy: SEH
Sump pumps
` _'
Foundation drains
Roof drains
rCity off.ba as
Residential Sanitary Sewer Service
Compliance Inspection
Date ( !. 1 Ir
• Name ? '1 J A � / /)
7
HD Number
House Number
4" to 6" Transition:
Alternative Mailing Address
For. information :call 651.470:2788
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
al/No sump pump
White Copy: Property Owner
Service Lateral inspection Findin
Roots / 1
Total
• am
Time .. 7 • pm
Disk #
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
s
Numb,5r of stacks 4 Entered S.L at
2 7
rte)
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition 2- --. ..
Correctly
Incorrectly
Length of Service: >
Number. Discharged
Unknown
Yellow Copy: City of Eagan C i
Record Number
Time
—0/
Phone
.s-
r
lnsS'ector Signature
Obstruction
Unable to push past
feet
i
r -
•
•
) .e
0 a
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
r
Notes
1 d L
'c /° Pink Copy: SEH