2035 Opal Pl - Inspection FormCity oi'Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 / ! 1 /47 Time 44 70
Name % r -',2 44:7_ Disk #
PID Number
o am
$Y pm
7
7
House Number afr Street Name
Alternative Mailing Address
Owner /Occupant Sig f
For information call 651.470.2788
Compliance
jL /No foundation drain connection
<No roof drain connection
O Sump pit not connected to
sanitary sewer
O 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 Entered S..L.at
Roots i {
r t
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: (
7/ Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Phone
1)
13 12(
Notes 4
• o am
Time k 4 • c1 pm
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
ff� ✓t
Yet. V2 4.0/�- "- -ef.�J
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
MI=
_ .
Ill
Foundation drains
Roof drains
_._.w
City oi'Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 / ! 1 /47 Time 44 70
Name % r -',2 44:7_ Disk #
PID Number
o am
$Y pm
7
7
House Number afr Street Name
Alternative Mailing Address
Owner /Occupant Sig f
For information call 651.470.2788
Compliance
jL /No foundation drain connection
<No roof drain connection
O Sump pit not connected to
sanitary sewer
O 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 Entered S..L.at
Roots i {
r t
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: (
7/ Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Phone
1)
13 12(
Notes 4
• o am
Time k 4 • c1 pm
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
ff� ✓t
Yet. V2 4.0/�- "- -ef.�J
Pink Copy: SEH