2067 Opal Dr - Inspection FormCO rX
of Fa au
Residential Sanitary, Sewer Service
Compliance Inspection
DateL/ /
Name l) ,4Jr.4
PID Number
House Number
Alternative MailingAddress .
i,
OwnerlOccupant Sign
reliance
o No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'
Service Lateral Inspection Findings
Roots /- 6/-7 . C t/• .,
- '
Poor Pipe Joints
4" to 6 " Transition: 1 1201
White Copy: Proper ty Owner
1 • 0 am
Time 0 p
Disk #
7_, '_06/
_. G' Street Name
ature
C 6 S
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
- 12E-LLJ
Length of Service:
Record Number
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 F Entered S.L. at
Notes
Time
Obstruction
Unable to push past
feet
• rd�
•
Final Cleanout:
dD am
O pm
/ v { 1 j
7-7
f ,
i inspector Signature
For information call 651.470.2
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number D
Discharged
Unknown
Total C
Sump pumps -
-- �.__�.-.��-�'°'
Foundation drains
`
``----
Roof drains .
.__ -
- ._.____W..._ _-
of Fa au
Residential Sanitary, Sewer Service
Compliance Inspection
DateL/ /
Name l) ,4Jr.4
PID Number
House Number
Alternative MailingAddress .
i,
OwnerlOccupant Sign
reliance
o No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'
Service Lateral Inspection Findings
Roots /- 6/-7 . C t/• .,
- '
Poor Pipe Joints
4" to 6 " Transition: 1 1201
White Copy: Proper ty Owner
1 • 0 am
Time 0 p
Disk #
7_, '_06/
_. G' Street Name
ature
C 6 S
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
- 12E-LLJ
Length of Service:
Record Number
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 F Entered S.L. at
Notes
Time
Obstruction
Unable to push past
feet
• rd�
•
Final Cleanout:
dD am
O pm
/ v { 1 j
7-7
f ,
i inspector Signature
For information call 651.470.2
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH