2052 Garnet Lane - Inspection Form1tt34,
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date • / / /3
Name
House Number
Transition
4" to 6 "Transition:
PID Number
Alternative Mailing Address
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
For information. call 65 1.47 0.2788
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
dwinerfOccupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Proper Owner
j �e0am
)
Time • X p
'
Disk # 1 - LLi
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
Length of Service:
LLJ
Record Number
Time
obstruction
Unable to push past
feet
Number of stacks _ Entered S.L at
Notes
inspector Signature
Oam'
•
• Opm
Phone 1//7
No Access
O No one in
Access to service
lateral r d
!y]
O Inspe
refused
v -
(` ) te' f-?)
C U
/ ?--- ...�: 7 (
Final Cleano f :. 0 1
�??
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
1tt34,
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date • / / /3
Name
House Number
Transition
4" to 6 "Transition:
PID Number
Alternative Mailing Address
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
For information. call 65 1.47 0.2788
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
dwinerfOccupant Signature
Service Lateral Inspection Findings
Roots
White Copy: Proper Owner
j �e0am
)
Time • X p
'
Disk # 1 - LLi
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
Length of Service:
LLJ
Record Number
Time
obstruction
Unable to push past
feet
Number of stacks _ Entered S.L at
Notes
inspector Signature
Oam'
•
• Opm
Phone 1//7
No Access
O No one in
Access to service
lateral r d
!y]
O Inspe
refused
v -
(` ) te' f-?)
C U
/ ?--- ...�: 7 (
Final Cleano f :. 0 1
�??
Yellow Copy: City of Eagan Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
a
Date 1
Name 0 r ),// J Disk #
PID Number
House Number
Alternative Mailing Address
!`� r ▪ )
OwnerlOccupant Signatur
Compliance
O No foundation drain connection
X No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
u.,/ • No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: ,.,
White Copy: Property Owner
▪ Street Name
Time
am
pm
1
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 of stacks
Record Number
2.
Phone •• Z_
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
am
• r pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Entered S L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition i
ri
1 L., Final Cleanout:
Length of Service:
Yellow Copy: City of Eagan
Pink Copy: SEH
��p
Number Discharged
Unknown
Notes
s
L// ! c / i 4
f7^-`._....°'-/'
® ,/
Total
Correctly
Incorrectly
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
a
Date 1
Name 0 r ),// J Disk #
PID Number
House Number
Alternative Mailing Address
!`� r ▪ )
OwnerlOccupant Signatur
Compliance
O No foundation drain connection
X No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
u.,/ • No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: ,.,
White Copy: Property Owner
▪ Street Name
Time
am
pm
1
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 of stacks
Record Number
2.
Phone •• Z_
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
am
• r pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Entered S L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition i
ri
1 L., Final Cleanout:
Length of Service:
Yellow Copy: City of Eagan
Pink Copy: SEH
��p