Loading...
2106 Jade Lane - Inspection Form411111- M or lia fl Residential Sanitary Sewer Service Compliance Inspection Date. Name ) House Number PID Number 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 Findings Roots 7 f al �/1 Poor PipeJoints y_.../ %3 4" to 6 "Transition: s *O r D €sk # I i f ) Street Name Owner /Occupant Signature White Copy: Property Owner am Time • 'O pm 5 ) t 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 Length of Service: Record Number Notes ime( f' Alternative MailiingAddress /� Phone Inspector Signature For information calf 651.470.2788 Obstruction Unable to push past feet Number,. (stacks Entered S L at • • ,,? am • , o pm No Access O No one in O Access to service lateral needed O Inspection refused Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition /--- F Cleanout: ,!. Yellow Copy: City of Eagan Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps (' Foundation drains Roof drains (3 411111- M or lia fl Residential Sanitary Sewer Service Compliance Inspection Date. Name ) House Number PID Number 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 Findings Roots 7 f al �/1 Poor PipeJoints y_.../ %3 4" to 6 "Transition: s *O r D €sk # I i f ) Street Name Owner /Occupant Signature White Copy: Property Owner am Time • 'O pm 5 ) t 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 Length of Service: Record Number Notes ime( f' Alternative MailiingAddress /� Phone Inspector Signature For information calf 651.470.2788 Obstruction Unable to push past feet Number,. (stacks Entered S L at • • ,,? am • , o pm No Access O No one in O Access to service lateral needed O Inspection refused Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition /--- F Cleanout: ,!. Yellow Copy: City of Eagan Pink Copy: SEH