2104 Garnet Lane - Inspection FormSump pumps
Foundation drains
r
Roof drains
f;
City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date 51 )/ / Time
Name 1 Disk #
PID Number
House Number
Alternative MailingAddress Phone /� -' _ �3 _ ).14/9/7
For information call 6651 2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
)( :3, Sump pump properly piped
No sump pump
Service Lateral Inspection Fi ings Number of stacks 1 Entered S.L.at - ' ! .-°"
,
Roots � „...-- „,....._/
- -
Poor Pipe Joints
Mineral Deposits n /7 /
c fr l �l '/ J f
gg ipeDeflectionic ° , --= -]_ -4-
Damaged Pipe
Transition � i,
.
4" to 6 "Transition:
White Copy: Pr operry Owner
OwnerlOccupant Signature
Total
1w' � Street Name
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Ser vice:
Number. Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Obstruction
Notes
Time
Inspector Signature
Final Cleanout:
0 am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Pink Copy: SEH