2050 Bluestone Lane - Inspection FormHouse Number
Poor Pipe joints
Mineral Deposits
4 401 1 . • •
CIty el Eallaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 0,5/ f / 16
Name
PID Number
Alternative Mailing Address
I
24
4" to 6" Transition:
White Copy: Proper ty Owner
Time 0'49•.??; 67.
Disk #
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
R E No sump pump
Service Lateral Inspection Findings
Roots
0
5
6
Number of stacks
Length of Service:
0
Street Name . ie./Lc Ltz
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
Yellow Copy: City of Eagan
Record Number
Time CI
• (
. 1 o
Phone
/
7,,,rrispecti: Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
No Access
O No one in
Entered S.1_ at IA(
O Access to service
lateral needed
O Inspection
refused
Sag/Pipe Deflection
Damaged Pipe
Transition
' /"t ( 7
4 7(--v
Final Cleanout:
Notes (
/fri
/1
Av Acecf"
777
1
Pink Copy: SEH
Number Discharged
Total Correctly Incorrectly
EIMPIJE
Unknown
Sump pumps
Foundation drains
Roof drains
r J
,,...,
--_,
House Number
Poor Pipe joints
Mineral Deposits
4 401 1 . • •
CIty el Eallaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 0,5/ f / 16
Name
PID Number
Alternative Mailing Address
I
24
4" to 6" Transition:
White Copy: Proper ty Owner
Time 0'49•.??; 67.
Disk #
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
R E No sump pump
Service Lateral Inspection Findings
Roots
0
5
6
Number of stacks
Length of Service:
0
Street Name . ie./Lc Ltz
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
Yellow Copy: City of Eagan
Record Number
Time CI
• (
. 1 o
Phone
/
7,,,rrispecti: Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
No Access
O No one in
Entered S.1_ at IA(
O Access to service
lateral needed
O Inspection
refused
Sag/Pipe Deflection
Damaged Pipe
Transition
' /"t ( 7
4 7(--v
Final Cleanout:
Notes (
/fri
/1
Av Acecf"
777
1
Pink Copy: SEH