2036 Opal Pl - Inspection FormNotes
Number
Correctly
Discharged
Incorrectly
Unknown
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Total
Sump pumps
ill
MEE
NEM
Foundation drains
Roof drains
Git of Fa p
Residential Sanitary Sewer Service
Compliance Inspection
Date 1, 1 Jo
Name . f:"
PID Number
4" to 6 "Transition:
House Number /0
Compliance
re No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Proper ty Owner
f`°f ?"1,x Disk #
Alternative MailingAddress
�
Owner/ ccupant Sigrioture
Service Lateral Inspection Findings Number of stacks
Roots �
Time ( : S p
Street Name
0
Length of Service:
r
Yellow Copy: City of Eagan
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
Record Number
Timer
Phone (
1 �
*eater Signature
CS
•• ' '; O pry
Obstruction
Unable to push past
feet
Entered S L at j
For information call 651.470.2788
No Access
O No one in
is
lV"( Final Cleanout:
O Access to service
Lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
47)
J / its
Pink Copy: SEH
