2072 Opal Dr - Inspection FormsSump pumps
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Foundation drains
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Roof drains
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City fl Fa an
Residential Sanitary Sewer Service
Compliance Inspection
Date �.1 1 // 1 ff2
Name 2Z/(fb'' Disk #
House Number. 2'a 7 Z
Alternative Mailing Address
Compliance
No foundation drain connection
i No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Total
I 0 • f0'•7 am
Time • o pm
ND Number
Owner /Occupant Signature
Street Name _ !✓ ,
For information call 651.470.2788
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 Ins ection Findings Number of stacks
3
Poor PipeJoints
Mineral Deposits i 1...C .
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: / ,�,�t Length of Service:.
Number Discharged
Correctly
Incorrectly
Unknown
White Copy: Property Owner
Ez iv , -
p .
Yellow Copy: City of Eagan
Record Number
c
1 3 • r) i ¶am
Time d • . ° . � . C c pm
Phone 1-
Z -4.
r
inspector Signature
Obstruction
Un le to push past
5 feet
J.i
Entered S L. at
No Access
O No one in
O Inspection
refused
Final Cleanout: ;, 7,'
O Access to service
lateral needed
Notes 0 a' �w
L , &Jg OS % ` -'z t& �'c)
Pink Copy: SEH
° -
City ol tapu
Residential Sanitary Sewer Service
Compluance Inspection
Date 01 / Z-// ,(`) Time /0
Name :: r !:'", piste #
PID Number
House Number Street Name
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly - 1151 ( No sump pump
Mineral Deposits Z
SaglPipe Deflection
4" to 6" Transition:
White Copy: Property Owner
;owner/Occupant Signature
Compliance
O� No foundation drain connection
Poor Pipe Joints
r
Damaged Pipe
Tr ansiti on
Service Lateral Inspection Findings Number of,stacks _ 1
fi 4{/
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
For information call 65 1.470.2788
Length of Service:
c
Record Number .i . 7; ;-
Yellow Copy: City of Eagan
Phone
f� J e
>> -- Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at 746
N otes
4
• � / �Oam
Time / `` • o pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number.
Correctly
Discharged
Incorr ectly
Unknown
Total
Sump pumps
CC. )
.- . .___ °_ _.__..-
-___.. __._ .__.:._._._._.
Foundation drains
/ /
Roof drains
City ol tapu
Residential Sanitary Sewer Service
Compluance Inspection
Date 01 / Z-// ,(`) Time /0
Name :: r !:'", piste #
PID Number
House Number Street Name
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly - 1151 ( No sump pump
Mineral Deposits Z
SaglPipe Deflection
4" to 6" Transition:
White Copy: Property Owner
;owner/Occupant Signature
Compliance
O� No foundation drain connection
Poor Pipe Joints
r
Damaged Pipe
Tr ansiti on
Service Lateral Inspection Findings Number of,stacks _ 1
fi 4{/
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
For information call 65 1.470.2788
Length of Service:
c
Record Number .i . 7; ;-
Yellow Copy: City of Eagan
Phone
f� J e
>> -- Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at 746
N otes
4
• � / �Oam
Time / `` • o pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH