2032 Opal Pl - Inspection FormSump pumps
,i
Foundation drains
Roof drains
`.
� ,
_._ —
City of liag,ao
Residential Sanitary Sewer Service
Compliance inspection
Datee 1 /f 1 4
Name /. ! i /'�"''� -C./ Disk #
PID Number
House Number
Alterna ive Mailing
4" to 6" Transition:
White Copy: Property Owner
Street Name (74 ,A
dress
77
J.• i.
Owner /Occupant Signature
For information call 651:470.2788
Cor pliance
No foundation drain connection
O D/No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Y No sump pump
Service Lateral Inspection Findings
Roots <4 74'/(1
/
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection -r
Damaged Pipe
Transition
'«
r ' , 0, 0 a
Time r — p
Non- Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks ( Entered S . at i %r (.
Length of Service:
Number Discharged c:
Total Correctly Incorrectly Unknown
Record Number 5
HE]
t
f
Phone
Obstruction
Unable to push past
feet.
Notes
t dy otx
i LS
1
Time /
o,am
pm
7
(A
insp ctor Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /7 °
Yellow Copy: City of Eagan Pink Copy: SEH
1 1111111 11 .
Cit,y pi taan
Sewer Service
ry Sew-
nita- t
Sanitary Anspectl ®n
Residential Comp l i ance II
Re Compil
)
Date/Z;_/ /
Name 77 _I Disk #
PID Number
Street Name
House Number
Alternative Mailing Address
For information call 651.470„2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
4" to 6" Transition:
White Copy: Proper ty Owner
OwnerlOccupant Signature
pi am
Time • 1 P
Damaged Pipe
Transition 2-1•
("7
Phone 7 &e i " - 7 1 " -
1
T ime
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
)
Roots . ) 5 )
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Inspictor Signature
0 am
Pm
N o Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Entered S L at
A J
Final Cleanout:
Pink Copy: SEH
- • .
• Nuriiiher
Correctly
• . .. ..• .. . . ....... .. -•
Discharged :-..:. -...
Notes
, i
-,-:------ --....-77
i ..
..-C --
/1
,- i 1 ,...-- c _.-- ; .,2,-- 7 k-..-----2.-_.-. - .. , ,•-_-__ •
1 .,-.-2
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
•
. . _
1 1111111 11 .
Cit,y pi taan
Sewer Service
ry Sew-
nita- t
Sanitary Anspectl ®n
Residential Comp l i ance II
Re Compil
)
Date/Z;_/ /
Name 77 _I Disk #
PID Number
Street Name
House Number
Alternative Mailing Address
For information call 651.470„2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
4" to 6" Transition:
White Copy: Proper ty Owner
OwnerlOccupant Signature
pi am
Time • 1 P
Damaged Pipe
Transition 2-1•
("7
Phone 7 &e i " - 7 1 " -
1
T ime
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
)
Roots . ) 5 )
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Inspictor Signature
0 am
Pm
N o Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Entered S L at
A J
Final Cleanout:
Pink Copy: SEH