2142 Garnet Dr - Inspection Formr
Nu raber;Discharged
Correctly
Notes
i {,J _ C. ?f ,/2L/?
.`v- r'1f # f
i
Total
Incorrectly
Unknown
Sump pumps
_"___ emu.
�""`-
Foundation drains
-°
Roof drains
----
City or Fagan
Residential Sanitary Sewer Service
Compliance Inspection
Date d.ii ? :/I /6:
Name Disk #
PID Number
House Number 2A
• Alternative MailingAddress
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
Time
a � -: _�.,�.,• �. ,,,,�
.
Owner /Occupant Signature
Service Lateral inspection Findings
Roots 77,5' 2) / 7
Poor Pipe joints p
Mineral Deposits i 7- ,
r✓ .
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: fs�� r;
White Copy: Property Owner
• 4 am
• o pm
fJ
Street Name C .der 2) , "
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
7 en of Service: 12
Yellow Copy: City of Eagan
Record Number
Phon
1 �=
Time
Number of stacks ( Entered S. L at
• am
• O Pm
1 fib'
' -/ftrrspector Signature
For information call 65
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:'
4 e
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH