2102 Opal Dr - Inspection Formr City of Ea an
Residential Sanitary Sewer Service
Compliance inspection
Date
Name (}
PID Number
/',) ,2
House Number j i Street Name
Alternative Mailing Address
For information call 65 1.470.2788 `.
Hance
No foundation drain connection
No roof drain connection
fi
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins
Roots
e
9 Disk #
Owner /Occupant Signature
ction d gs..a Nun) er aE staci9
Time , • f Pm
2
Phone --
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
Record Number 1
•
Time
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
�� Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
•
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
( `
Foundation drains
(_.../
Roof drains
r City of Ea an
Residential Sanitary Sewer Service
Compliance inspection
Date
Name (}
PID Number
/',) ,2
House Number j i Street Name
Alternative Mailing Address
For information call 65 1.470.2788 `.
Hance
No foundation drain connection
No roof drain connection
fi
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins
Roots
e
9 Disk #
Owner /Occupant Signature
ction d gs..a Nun) er aE staci9
Time , • f Pm
2
Phone --
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
Record Number 1
•
Time
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
�� Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH