2083 Garnet Lane - Inspection FormCity of Caaa
Residential Sanitary Sewer Service
Compliance Ins pect on
��2
Date .„51 1( ,. Time
Name d1 r . I)C/l ?v 9 isk #
PID Number
House Number i 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
7 , No sump pump
I
OwnerfOccupant Signature
Service Lateral Inspection Findings) Number of stacks Entered 5.L at
Roots 27r.g f- 7
Poor Pipe joints
Mineral Deposits
- a te
g?pe Deflection _
Damaged Pipe I I
Transition
4" to 6" Transition:
White Copy: Property Owner
am
Pm
Non - Compliance
O Clear water connections to Unable to push past 0 No one in
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:
Yellow Copy: City of Eagan
Record Number
7
.t_ am
•
F -Zaime _ . . - • pm
Phone
Obstruction
j
7,r -
�.
Inspector Signature
No Access
j Fi nal Cleanout: f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
drains'
Roof drains
City of Caaa
Residential Sanitary Sewer Service
Compliance Ins pect on
��2
Date .„51 1( ,. Time
Name d1 r . I)C/l ?v 9 isk #
PID Number
House Number i 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
7 , No sump pump
I
OwnerfOccupant Signature
Service Lateral Inspection Findings) Number of stacks Entered 5.L at
Roots 27r.g f- 7
Poor Pipe joints
Mineral Deposits
- a te
g?pe Deflection _
Damaged Pipe I I
Transition
4" to 6" Transition:
White Copy: Property Owner
am
Pm
Non - Compliance
O Clear water connections to Unable to push past 0 No one in
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:
Yellow Copy: City of Eagan
Record Number
7
.t_ am
•
F -Zaime _ . . - • pm
Phone
Obstruction
j
7,r -
�.
Inspector Signature
No Access
j Fi nal Cleanout: f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH