2087 Garnet Lane - Inspection FormSump pumps
Foundation drains
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Roof drains
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41111
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Ftesidentl'al Sanitary Sewer Service
Compliance Inspecticon
Date /' / / )
Name
PJD Number
House Number / Street Name
Alternative Mailing Address
For information call 651.470.2788
No sump pump sanitary sewer -
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
0 Service lateral defects
Compliance Non-Compliance
O No foundation drain connection Clear water connections to
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
n
Service Lateral Insiection Findings Number of stacks
Roots
i
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pi °petty Owner
OwnerlOccupant Signature
Total
Time
mr7
/
r( 4
Correctly
am
pm
Length of Service:
Incorrectly
Number Discharged -
Unknown
Yellow Copy: City of Eagan
Record Number
0 am
r—Time oe cr.76
PM
Inspector Signature
Obstruction
Linable to push past
feet
4 — '1 -Final Cleanout:
Notes
• ,
Phone - A, 7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered 5 L at
Pink Copy: SEH
r .
T. , ,
/
'
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