2088 Opal Dr - Inspection FormCit u #' J,a an
Residential Sanitary Sewer Service
Compliance Inspection
Date .r<'l /1
Name ae'r7
PID Number
House Number - -P
Alternative Mailing Address
4" to 6" Transition:
SaglPipe Deflection
Damaged Pipe.
L/ ` C.r
Transition >'' !�� ✓, 1 -''`
White Copy: Proper Owner
Time /01-1C g--
Disk #
Street Name
Owner /Occupant Signature
0
For information call 651.470.2788
Compliance
LT No foundation drain connection
s No roof drain connection
O Sump pit pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe Joints
r 7:21
Mineral Deposits .
r i
Service Lateral Inspection Findings Number of stacks
Roots ' 7 S
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
_ . Length of Ser vice:
y J ,
Yellow Copy: City of Eagan
0
Record Number
Phone / /
t� �r
l .Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S. L at ' - '
Time •
4
o am
4' pm
O Access to service
lateral needed
O Inspection
refused
Final Clear out: '
Pink Copy: SEH
Total
Notes
6 I { / J ( /" i fj f
\. �L ` r p L { _ _ 7 {s Gam f . j ` f '
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
^}.
/,
. __.e._
_____ __._.._
..
Foundation drains
.__..__ __.___m_._
-- - - ..__- __.- __._-,..-.,._..._.._
Roof drains
'
Cit u #' J,a an
Residential Sanitary Sewer Service
Compliance Inspection
Date .r<'l /1
Name ae'r7
PID Number
House Number - -P
Alternative Mailing Address
4" to 6" Transition:
SaglPipe Deflection
Damaged Pipe.
L/ ` C.r
Transition >'' !�� ✓, 1 -''`
White Copy: Proper Owner
Time /01-1C g--
Disk #
Street Name
Owner /Occupant Signature
0
For information call 651.470.2788
Compliance
LT No foundation drain connection
s No roof drain connection
O Sump pit pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe Joints
r 7:21
Mineral Deposits .
r i
Service Lateral Inspection Findings Number of stacks
Roots ' 7 S
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
_ . Length of Ser vice:
y J ,
Yellow Copy: City of Eagan
0
Record Number
Phone / /
t� �r
l .Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S. L at ' - '
Time •
4
o am
4' pm
O Access to service
lateral needed
O Inspection
refused
Final Clear out: '
Pink Copy: SEH