4259 Amber Ct - Inspection Formsia
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 /'f 1 /o
Pt-
Name /1" d
PID Number
House Number 2 7/r? Street Name
Alternative Mailing Address
For information call 651
Compliance
O No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins ection Findings Number of stacks
Roots 771:1
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:/f 7, Length of Service:
White Copy: Pr oper ty Owner
t r ,-• o am
Time r .3 Gr 0. pm
Disk #
, 1 .
•- -� i
L 01/Iner /Occupant Signature
2] -W
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
Yellow Copy: City of Eagan
Record Number
0
Obstruction
Unable to push past
feet
am
Time. / c i f a J , k'pm
Ph _r ..f) � 7 _.`Cf
7 ' 1 Inspector Signature
No Access
O No one in
/ Entered S. �1 T-
. 5 — Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes 0 .• ( - 41)
'i'.
° °
Total
Correctly
Incorrectly
Unknown
Sump ppmps
'
.. -- --�°'
-.' V I i� vo Pl ' 7 -- .
�iltl/G - r :t 6 t
,g
_ of f'�i (, ::9 f . ,t,'
Foundation drains
Roof drains
ia
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 /'f 1 /o
Pt-
Name /1" d
PID Number
House Number 2 7/r? Street Name
Alternative Mailing Address
For information call 651
Compliance
O No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins ection Findings Number of stacks
Roots 771:1
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:/f 7, Length of Service:
White Copy: Pr oper ty Owner
t r ,-• o am
Time r .3 Gr 0. pm
Disk #
, 1 .
•- -� i
L 01/Iner /Occupant Signature
2] -W
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
Yellow Copy: City of Eagan
Record Number
0
Obstruction
Unable to push past
feet
am
Time. / c i f a J , k'pm
Ph _r ..f) � 7 _.`Cf
7 ' 1 Inspector Signature
No Access
O No one in
/ Entered S. �1 T-
. 5 — Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
ia
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 /'f 1 /o
Pt-
Name /1" d
PID Number
House Number 2 7/r? Street Name
Alternative Mailing Address
For information call 651
Compliance
O No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins ection Findings Number of stacks
Roots 771:1
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:/f 7, Length of Service:
White Copy: Pr oper ty Owner
t r ,-• o am
Time r .3 Gr 0. pm
Disk #
, 1 .
•- -� i
L 01/Iner /Occupant Signature
2] -W
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
Yellow Copy: City of Eagan
Record Number
0
Obstruction
Unable to push past
feet
am
Time. / c i f a J , k'pm
Ph _r ..f) � 7 _.`Cf
7 ' 1 Inspector Signature
No Access
O No one in
/ Entered S. �1 T-
. 5 — Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes 0 .• ( - 41)
'i'.
° °
Total
Correctly
Incorrectly
Unknown
Sump ppmps
'
.. -- --�°'
-.' V I i� vo Pl ' 7 -- .
�iltl/G - r :t 6 t
,g
_ of f'�i (, ::9 f . ,t,'
Foundation drains
Roof drains
ia
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 /'f 1 /o
Pt-
Name /1" d
PID Number
House Number 2 7/r? Street Name
Alternative Mailing Address
For information call 651
Compliance
O No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins ection Findings Number of stacks
Roots 771:1
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:/f 7, Length of Service:
White Copy: Pr oper ty Owner
t r ,-• o am
Time r .3 Gr 0. pm
Disk #
, 1 .
•- -� i
L 01/Iner /Occupant Signature
2] -W
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
Yellow Copy: City of Eagan
Record Number
0
Obstruction
Unable to push past
feet
am
Time. / c i f a J , k'pm
Ph _r ..f) � 7 _.`Cf
7 ' 1 Inspector Signature
No Access
O No one in
/ Entered S. �1 T-
. 5 — Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH