4242 Amber Dr - Inspection FormsSump pumps
f
Foundation drains
;r')
Roof drains
L
` City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date c /` /f o f G
Name . ." /6.7
PID Number
House Number
Alternative MailingAddress
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findin
/ s
Roots - ..9 / ),1 , 6
Poor Pipe Joints ,+
Mineral Deposits •r _ .J
Sag /Pipe Deflection
Transition
4" to 6 "Transition:
Time r o a p 'n ni
Disk #
( .4, 7 '/2 Street Name
Owner /Occupant Signature
Non - Compliance
Total Correctly Incorrectly
_S of Service:
Number. Discharged
Unknown
White Copy: Propeity Owner
For information call 65 L470.2788
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 1 Fnte, ed S.L at ;-C/ 0;13)
IC) r
Record Number
Notes
Time
Obstruction
Unable to push past
feet
Damaged Pipe
5
S
Phone(a1 - 7- (7 7 - ' C
,l ` ,
,i - Inspector Signature
Final Cleanout:
S
4 '0 em
•
i Q pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Sump pumps
f
Foundation drains
;r')
Roof drains
L
` City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date c /` /f o f G
Name . ." /6.7
PID Number
House Number
Alternative MailingAddress
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findin
/ s
Roots - ..9 / ),1 , 6
Poor Pipe Joints ,+
Mineral Deposits •r _ .J
Sag /Pipe Deflection
Transition
4" to 6 "Transition:
Time r o a p 'n ni
Disk #
( .4, 7 '/2 Street Name
Owner /Occupant Signature
Non - Compliance
Total Correctly Incorrectly
_S of Service:
Number. Discharged
Unknown
White Copy: Propeity Owner
For information call 65 L470.2788
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 1 Fnte, ed S.L at ;-C/ 0;13)
IC) r
Record Number
Notes
Time
Obstruction
Unable to push past
feet
Damaged Pipe
5
S
Phone(a1 - 7- (7 7 - ' C
,l ` ,
,i - Inspector Signature
Final Cleanout:
S
4 '0 em
•
i Q pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH