2075 Garnet Lane - Inspection FormCity 01Capri
Residential . Sanitary Sewer Service
Compliance Inspection
Date Ir
Name f /I s Disk #
PID Number
House Number (/ 1 . )Street Name
Alternative Mailing Address
4" to 6 "Transition:
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateralnspectio Fin
Roots ') -)
White Copy: Property Owner
Time
OwnerlOccupant Signature
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
Yellow Copy: City of Eagan
Record Number
1
Notes
7
1
ime
Obstruction
Unable to push past
feet
Inspector Signature
o am
o pm
For information call 651.470 2788
Numbe stacks 7 Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r r�
Length of Service; ma Final Cleanout: / /
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
City 01Capri
Residential . Sanitary Sewer Service
Compliance Inspection
Date Ir
Name f /I s Disk #
PID Number
House Number (/ 1 . )Street Name
Alternative Mailing Address
4" to 6 "Transition:
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateralnspectio Fin
Roots ') -)
White Copy: Property Owner
Time
OwnerlOccupant Signature
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
Yellow Copy: City of Eagan
Record Number
1
Notes
7
1
ime
Obstruction
Unable to push past
feet
Inspector Signature
o am
o pm
For information call 651.470 2788
Numbe stacks 7 Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r r�
Length of Service; ma Final Cleanout: / /
Pink Copy: SEH