2036 Zircon Lane - Inspection FormResidential Sanitary Sewer Service
40111 *.z.. City of Eapo Compliance Inspection
DateaC/ Z
Name airetr7 Disk#
PID Number
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
1 0 Sump pump properly piped
No sump pump
Service Later al y nsuction Findings
Rpots:Srir (...5 ▪ 6
Poor
Mineral Deposits S9 r
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: OA/
White Copy: Pi ()per ty Owner
Time
House Number re? 0.,TZ Street Name
Alternative Mailing Address
Owner/Occupant Signatare
j
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
Number of stacks
Record Number
C'57,- Length of Service: it eir
Notes
Time '
Obstruction
Unable to push past
feet
Phone
/
.-ifiiiiector Signature
d am
. 0 pm
For information call 651.410.2788
k Entered S L at j;-1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Discharged -.
Total
Correctly
Incorrectly
Unknown
Sump pumps
– .
...,.....____
.
- -------.
---
Foundation drains
Roof drains
___--
—
Residential Sanitary Sewer Service
40111 *.z.. City of Eapo Compliance Inspection
DateaC/ Z
Name airetr7 Disk#
PID Number
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
1 0 Sump pump properly piped
No sump pump
Service Later al y nsuction Findings
Rpots:Srir (...5 ▪ 6
Poor
Mineral Deposits S9 r
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: OA/
White Copy: Pi ()per ty Owner
Time
House Number re? 0.,TZ Street Name
Alternative Mailing Address
Owner/Occupant Signatare
j
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
Number of stacks
Record Number
C'57,- Length of Service: it eir
Notes
Time '
Obstruction
Unable to push past
feet
Phone
/
.-ifiiiiector Signature
d am
. 0 pm
For information call 651.410.2788
k Entered S L at j;-1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH