2057 Opal Dr - Inspection Form4111
City 1)1 tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date OS / 24/1 /Q
„, 0 arn
Time / • 61 p,p
- Lid
0
PID Number
Name Disk #
House Number
Alternative Mailing Address
Street Name -
Owner/Occupant Signature
Record Number J
0 am
Time /_..3 • _--) CO COM
Phon --/e17). „-
//
//
,-- Signature
/ •
For information call 651.470.2788
Compliance
0 No foundation drain connection
LC(No roof drain connection
. 0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
_'No sump pump
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
Service Lateral Inspection Findings Number of stacks 1
Roots 75 S 76". $ 7, la
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: J
((:!4t ,
av - co l t , Length of Service:
1
White Copy: Property Owner
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S.L at , I TA-r/K' (
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Notes ‘ 0 6-A. 7 avere:7
iftCfr '61
— acii.„471
/1 A
)
Pink Copy: SEH
Total
Number
Discharged. .
Correctly
Incorrectly
Unknown
Sump pumps
,...,-----------_,
Foundation drains
Roof drains
....,
4111
City 1)1 tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date OS / 24/1 /Q
„, 0 arn
Time / • 61 p,p
- Lid
0
PID Number
Name Disk #
House Number
Alternative Mailing Address
Street Name -
Owner/Occupant Signature
Record Number J
0 am
Time /_..3 • _--) CO COM
Phon --/e17). „-
//
//
,-- Signature
/ •
For information call 651.470.2788
Compliance
0 No foundation drain connection
LC(No roof drain connection
. 0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
_'No sump pump
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
Service Lateral Inspection Findings Number of stacks 1
Roots 75 S 76". $ 7, la
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: J
((:!4t ,
av - co l t , Length of Service:
1
White Copy: Property Owner
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S.L at , I TA-r/K' (
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Notes ‘ 0 6-A. 7 avere:7
iftCfr '61
— acii.„471
/1 A
)
Pink Copy: SEH