4266 Jasper Dr - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date , 77 / / Ir'Y Time
Name % Jr; Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
a pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
1 0 Sump pump properly piped
Q No sump pump
Service Lateral 1n,pection Findings ,7
. 1
'Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
L
er /Occupant Signature
Damaged Pipe
Transition
4" to 6 "Transition: t n — gt
White Copy: Property Owner
am
pm
-°--4 Time :
Street Name ,e ) ✓. -°` , \) F
Phone 6
Length of Service:
Yellow Copy: City of Eagan
Record Number
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 stacl s
/' ( ;:
Inspector Signature
Obstruction
Unable to push past
feet
Erit red S at
�
No Access
O No one in
A�
Final Cleanout:
/t /" 2 '
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
Foundation drains
11111 II
Roof drains
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date , 77 / / Ir'Y Time
Name % Jr; Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
a pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
1 0 Sump pump properly piped
Q No sump pump
Service Lateral 1n,pection Findings ,7
. 1
'Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
L
er /Occupant Signature
Damaged Pipe
Transition
4" to 6 "Transition: t n — gt
White Copy: Property Owner
am
pm
-°--4 Time :
Street Name ,e ) ✓. -°` , \) F
Phone 6
Length of Service:
Yellow Copy: City of Eagan
Record Number
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 stacl s
/' ( ;:
Inspector Signature
Obstruction
Unable to push past
feet
Erit red S at
�
No Access
O No one in
A�
Final Cleanout:
/t /" 2 '
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH