4304 Jasper Dr - Inspection FormC of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date (77/ /21 //,=
Name ( .
PID Number
House Number
Alternative Mailing Addresi
Compliance
O No foundation drain connection
'' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(id% sump pump
Mineral Deposits _1
4" to 6 "Transition: !`
White Copy: Property Owner
€ /,/ 7 o am
Time f : aj'pm
isk #
r Street Name _
Owner /Occupant Signature
For information call 651.470.2788
Sag /Pipe Deflection
Damaged Pipe
Transition
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
Service Lateral Inspection Findings
.% . '= .y`._ , - %7C„,--=';.---. ; � 7
/ -
' . ' /
Poor Pipe joints
— W —LIeJ
Number of stacks
i =
Length of Service:
Record Number °~ 3
d
Entered S,. ax.. ; /', ;'• 't.
Obstruction
Unable to push past
feet
Notes
Phone ' )4 c r
f ` f' •
Inspector Signature
/a. am
Time ( • pm
Final Cleanout:
5 `y f
r - z Sry
7 —
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number Discharged
Totak.
Correctly
Incorrectly
Unknown
Sump pumps
.' ...
,_
Foundation drains
Roof drains
r
______ - ,.. _._._
e____. __ _.. __._
C of Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date (77/ /21 //,=
Name ( .
PID Number
House Number
Alternative Mailing Addresi
Compliance
O No foundation drain connection
'' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(id% sump pump
Mineral Deposits _1
4" to 6 "Transition: !`
White Copy: Property Owner
€ /,/ 7 o am
Time f : aj'pm
isk #
r Street Name _
Owner /Occupant Signature
For information call 651.470.2788
Sag /Pipe Deflection
Damaged Pipe
Transition
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
Service Lateral Inspection Findings
.% . '= .y`._ , - %7C„,--=';.---. ; � 7
/ -
' . ' /
Poor Pipe joints
— W —LIeJ
Number of stacks
i =
Length of Service:
Record Number °~ 3
d
Entered S,. ax.. ; /', ;'• 't.
Obstruction
Unable to push past
feet
Notes
Phone ' )4 c r
f ` f' •
Inspector Signature
/a. am
Time ( • pm
Final Cleanout:
5 `y f
r - z Sry
7 —
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH