2084 Opal Dr - Inspection Formp° city of:IaaII
Residential Sanitary Sewer Service
Compliance Inspection
p
Date _. / / I (
Name
4" to 6 "Transition:
Alternative Mailing Address
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
r
'Transition
White Copy: Property Owner
9 s 60 q an
Time / — • /� pm
Disk #
PID Number
House Number / ` Street Name
4..- f 1
r _c—
OwherlOc Signature
1
Length of Service:
Service Lateral inspection Findings Number of stacks
Roots L
,� !�; �i
Yellow Copy: City of Eagan
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
4
Entered Sii)at
—Q
Phone �! j
L O am
ime ,1 • p pm
Obstruction
Unable to push past
feet .
lnspector`Signature
For information call 651.470.2788
1- Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH
Number.
Correctly
Discharged
Incorrectly
_ Unknown
Notes
Total
Sump pumps
r
Foundation drains
Roof drains
'
- 1 1, 9c7
.G ,17
p° city of:IaaII
Residential Sanitary Sewer Service
Compliance Inspection
p
Date _. / / I (
Name
4" to 6 "Transition:
Alternative Mailing Address
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
r
'Transition
White Copy: Property Owner
9 s 60 q an
Time / — • /� pm
Disk #
PID Number
House Number / ` Street Name
4..- f 1
r _c—
OwherlOc Signature
1
Length of Service:
Service Lateral inspection Findings Number of stacks
Roots L
,� !�; �i
Yellow Copy: City of Eagan
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
4
Entered Sii)at
—Q
Phone �! j
L O am
ime ,1 • p pm
Obstruction
Unable to push past
feet .
lnspector`Signature
For information call 651.470.2788
1- Final Cleanout:
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Pink Copy: SEH