4247 Jasper Dr - Inspection Form4 ,,1 1111 ' City of Eatari
Residential Sanitary Sewer Service
• .
Compliance Inspection
Date 0 7 / /
Name 7' 7 7 • Disk #
PID Number
l-louse Number
Alternative Mailing Address
4'
Compliance
O No foundation drain connection
k No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
0 No sump pump
q e 7 Street Name
For information call 651.470 2788
White Copy: Property Owner
Owner/Occupant Signature
Service Later al Inspection Findings
4" to 6" Transition: i
• ,eram
Time / •c2/ pm
icr-••• •
zi W-L121
1
Non-Compliance
O Clear water connections co
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks _ 1 Enter ed S. L at J7/ 1 _
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Pho e
• .2% -c
Time / • o prn
;F7 _
Inspector Signature
Obstruction
Unable to push past
feet
amammule•ISIMONIR0191116
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: 6
Notes LP . c fr ere
et'rPC7' •
' 1 "
• 1,1 /•.24.,,t1 (IA./
Id.
(3( /
1 •
1 /
r "
r
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly
Unknown
Sump pumps
Foundation drains
.
/
Roof drains
,---)___
4 ,,1 1111 ' City of Eatari
Residential Sanitary Sewer Service
• .
Compliance Inspection
Date 0 7 / /
Name 7' 7 7 • Disk #
PID Number
l-louse Number
Alternative Mailing Address
4'
Compliance
O No foundation drain connection
k No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
0 No sump pump
q e 7 Street Name
For information call 651.470 2788
White Copy: Property Owner
Owner/Occupant Signature
Service Later al Inspection Findings
4" to 6" Transition: i
• ,eram
Time / •c2/ pm
icr-••• •
zi W-L121
1
Non-Compliance
O Clear water connections co
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks _ 1 Enter ed S. L at J7/ 1 _
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Pho e
• .2% -c
Time / • o prn
;F7 _
Inspector Signature
Obstruction
Unable to push past
feet
amammule•ISIMONIR0191116
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: 6
Notes LP . c fr ere
et'rPC7' •
' 1 "
• 1,1 /•.24.,,t1 (IA./
Id.
(3( /
1 •
1 /
r "
r
Pink Copy: SEH