2085 Quartz Lane - Inspection FormSump pumps
I
' rE
Foundation drains
'` '
Roof drains
,--%
Residential Sanitary Sewer Service
Compliance Inspection
Date 7 1_ l
Name, 7 (1(.2 i� r
PlD Number
House Number
Alternative Mailing Address
Corr� pliiance
No foundation drain connection
(rf
9 No roof drain connection
1
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Time •
_CA
• I (()_ r • 'E.
• OwnerlOccupant Signature
am
0 pm
Street Name
Phone ,_
For information call 651:470.2788
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
- Time e 1 p M rn
Obstruction No Access
Unable to push past 0 No one in
feet
Entered St at
Inspector Signature
O Access to service
lateral needed
O inspection
r efused
I
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
�! ! mil3 L ! �� -- J l / / - - f �. f -- 4!
Transition
4" to 6" Transition:
White Copy: Property Owner
Total Correctly Incorr ectly Unknown
Length of Service:
Number Discharged
Yellow Copy: City of Eagan
Notes
Final Cleanout:
Pink Copy: SEH