2079 Garnet Lane - Inspection Form41111111. Ca of lia ail
Residential Sanitary Sewer Service
Compliance Inspection
Dates 1 £o 1 %
Name Y;le /
House Number
Compliance
O No foundation drain connection
p r No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C7 No sump pump
Sag /Pipe Deflection
Damaged Pipe
White Copy: Property Owner
Time /0 • t0" o pm
Disk #
0
PID Number
Alternative Mailing Address
- O'wnerlOccupant Signature
f
Transition
- (// ' I As/
4" to 6 "Transition: - , Length of Ser vice:
f
Record Number �! / , —
--
am
Time /JO • % o pm
Service Lateral Inspection Findings Number of stacks
Roots 7o (f 11 > x ' - ) , 7 7 . ' .; v: .• -. -..
1f /�
Poor PipeJoints
Mineral Deposits (�, 7
2 c✓ 7? Street Name
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
Phone : 76. .-V/ � ' 01P7/
nspector Signature
/
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /7:4„,R,"
Pink Copy: SEH
Total
��
Notes p
Z-i4
d
_
3 ---...1,a
r
7
-c7�c .?'i ,,,
7
/
r !� lJ _f �l / - --
�%
/ �
Number
Discharged:
Correctly
Incorrectly
Unknown
Sump pumps
_� __ _ __
Foundation drains
j'!
Roof drains
�__ -_ W._ _
..____..__
•
41111111. Ca of lia ail
Residential Sanitary Sewer Service
Compliance Inspection
Dates 1 £o 1 %
Name Y;le /
House Number
Compliance
O No foundation drain connection
p r No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C7 No sump pump
Sag /Pipe Deflection
Damaged Pipe
White Copy: Property Owner
Time /0 • t0" o pm
Disk #
0
PID Number
Alternative Mailing Address
- O'wnerlOccupant Signature
f
Transition
- (// ' I As/
4" to 6 "Transition: - , Length of Ser vice:
f
Record Number �! / , —
--
am
Time /JO • % o pm
Service Lateral Inspection Findings Number of stacks
Roots 7o (f 11 > x ' - ) , 7 7 . ' .; v: .• -. -..
1f /�
Poor PipeJoints
Mineral Deposits (�, 7
2 c✓ 7? Street Name
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
Phone : 76. .-V/ � ' 01P7/
nspector Signature
/
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /7:4„,R,"
Pink Copy: SEH