2128 Garnet Dr - Inspection Formm o‘b
Ealao
Residential; Sanitary Sewer Service
Compliance Inspection
Date I_
Name 2
PID Number
l)
House Number - / �2
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
4" to 6 "Transition:
White Copy: Property Owner
i( 4 (Q -ZZ -)Q
• `4 am
Time O prn
Disk # — LLJ —Ti]
Street Name
Owner /Occupant Signature
For information call 651 2788
Non - Compliance
0
O
0
0
0
Clear water connections to
sanitary sewer-
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone C--; c—)�
Obstruction
Unable to push past
feet
Notes
Time
•
•
Inspector Signature
Final Cleanout:
o am
Q pm
No one in
O Inspection
refused
No Access
O Access to service
lateral needed
Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
m o‘b
Ealao
Residential; Sanitary Sewer Service
Compliance Inspection
Date I_
Name 2
PID Number
l)
House Number - / �2
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
4" to 6 "Transition:
White Copy: Property Owner
i( 4 (Q -ZZ -)Q
• `4 am
Time O prn
Disk # — LLJ —Ti]
Street Name
Owner /Occupant Signature
For information call 651 2788
Non - Compliance
0
O
0
0
0
Clear water connections to
sanitary sewer-
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone C--; c—)�
Obstruction
Unable to push past
feet
Notes
Time
•
•
Inspector Signature
Final Cleanout:
o am
Q pm
No one in
O Inspection
refused
No Access
O Access to service
lateral needed
Pink Copy: SEH