4260 Jasper Dr - Inspection FormCity of to
Residential Sanitary Sewer Service
Compliance Inspection
Date fi)// 1
Name _'17 fry
PlD Number
House Number
Alternative Mailing Address
Compliance
O2 : No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
N-- 0 sump pump
Service Lateral Inspection Findings Number of stacks
Roots a rJr .— 3.. I � ; e
F
Poor Pipe joints
Mineral Deposits 5.7, f i "
r
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b "Transition:
/41,
White Copy: Property Owner
• O am
Time A" •••!f' p pm
Disk #
Street Name
OwnerIOccupant Signature
Non - Compliance
0
O
O
O
O
L LL']-[Ik i
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Phone -j 047-) f :_
Record Number
/
FJ otes
0 am
Time r • f- Airpm
Entered S L at
•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
S ly
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
4C .
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly.
Unknown
Sump pumps
Foundation drains
,
Roof drains
_�_
City of to
Residential Sanitary Sewer Service
Compliance Inspection
Date fi)// 1
Name _'17 fry
PlD Number
House Number
Alternative Mailing Address
Compliance
O2 : No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
N-- 0 sump pump
Service Lateral Inspection Findings Number of stacks
Roots a rJr .— 3.. I � ; e
F
Poor Pipe joints
Mineral Deposits 5.7, f i "
r
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b "Transition:
/41,
White Copy: Property Owner
• O am
Time A" •••!f' p pm
Disk #
Street Name
OwnerIOccupant Signature
Non - Compliance
0
O
O
O
O
L LL']-[Ik i
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Phone -j 047-) f :_
Record Number
/
FJ otes
0 am
Time r • f- Airpm
Entered S L at
•
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
S ly
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
4C .
Yellow Copy: City of Eagan Pink Copy: SEH