2004 Zircon Lane - Inspection FormCity o f . Pap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name L j //\-/ !` 7-4- .7 Disk #
PID Number
House Number __ Street Name
Alternative Mailing Address
For information call 651 470.2788
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
Ownpr?' Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
C
(5ai/lope Deflection , . 1 -- �.
Damaged Pipe
rA
Transition I c")-
4" to 6" Transition:
White Copy: Property Owner
Time
0
O
O
0
0
am
Pm
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
• ;ti_f
Time •
inspector Signature
Obstruction
Unable to push past
feet
O am
pm
Phone / / 7' , 4
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L. at ? :'' — "_
, -
Final Cleanout: /
Pink Copy: SEH
Number Discharged
Unknown
Notes
01-L -. 4 ):=--- -/} /�
b 1C
Total
Correctly
incorrectly
Sump pumps
Foundation drains
(
Roof drains
/
/ f/ / /
City o f . Pap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name L j //\-/ !` 7-4- .7 Disk #
PID Number
House Number __ Street Name
Alternative Mailing Address
For information call 651 470.2788
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
Ownpr?' Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
C
(5ai/lope Deflection , . 1 -- �.
Damaged Pipe
rA
Transition I c")-
4" to 6" Transition:
White Copy: Property Owner
Time
0
O
O
0
0
am
Pm
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
• ;ti_f
Time •
inspector Signature
Obstruction
Unable to push past
feet
O am
pm
Phone / / 7' , 4
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L. at ? :'' — "_
, -
Final Cleanout: /
Pink Copy: SEH