2073 Bluestone Dr E - Inspection FormSump pumps
_...,
_
Foundation drains
,-
Roof drains
4 6 1
City tif an
Ftesidential Sanitary Sewer Service
•
Compliance Inspection
Date PS 1 0/ /0
Name ///A,4 A 1 7;44/A
House Number
mpliance
2-a 73
Alternative Mailing Address
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
INCK,No sump pump
Service Lateral Inspection Findings
Disk #
PiD Number
---
▪ OWnericUpant Signature
Sag/Pipe Deflection
Damaged Pipe
Transition4i, ./ k) /
' 77) 1 7 . Y '
4" to 6" Transition:
White Copy: PI operty Owner
Ati
• •-43 am
Time • vc 0 p
Street Name 2..s _f`
6
FE] [
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
Number of stacks Entered S. L at
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Time 7 •
0
/ - ."b•Cf,1" 7i2;
Photie
l/
//Inspector Signature
earn
0 pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
6,
Roots-s X A
Poor Pipe Joints
Mineral Deposits
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH