2069 Bluestone Dr E - Inspection FormCittorEa an
Residential Sanitary Sewer Service
Compliance Inspection
DateO< //- / / r�
Name! / - , f4__
PID Number
House Number 2° c<
Alternative Mailing Address
\ 1
Compliance
`No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
9 No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
wjier /Occupant Signature
Time r✓ o
Disk #
Street Name
e arn
0 pm
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
j
Time." L,
✓ 7
Yellow Copy: City of Eagan
Record Number
6 ^. � -
/-\ Phorie 4
R l
Obstruction
Unable to push past
feet.
•
Inspector - Signature
Number of stacks Entered S . at J 7/
/ tam
i 0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection /' -/- fY
Damaged Pipe
Transition // / . :0- a" '( i /
Length of Service: 7t- Final Cleanout: /V1
r
N otes 0 G✓,fv 11.<?--4t
/
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
- - �
Foundation drains
;/&"-------
Roof drains
7
—
CittorEa an
Residential Sanitary Sewer Service
Compliance Inspection
DateO< //- / / r�
Name! / - , f4__
PID Number
House Number 2° c<
Alternative Mailing Address
\ 1
Compliance
`No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
9 No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
wjier /Occupant Signature
Time r✓ o
Disk #
Street Name
e arn
0 pm
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
j
Time." L,
✓ 7
Yellow Copy: City of Eagan
Record Number
6 ^. � -
/-\ Phorie 4
R l
Obstruction
Unable to push past
feet.
•
Inspector - Signature
Number of stacks Entered S . at J 7/
/ tam
i 0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection /' -/- fY
Damaged Pipe
Transition // / . :0- a" '( i /
Length of Service: 7t- Final Cleanout: /V1
r
N otes 0 G✓,fv 11.<?--4t
/
Pink Copy: SEH