2125 Sapphire Lane - Inspection FormCity of I a au
Residential Sanitary Sewer Service
Compliance Inspection
Date , 1 l c' 1
Name 6 6 .. /,46744 Disk #
PID Number
House Number /Z S-
Alternative Mailing Address
Compliance pliance
No foundation drain connection
z k' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
fq No sump pump
Service Lateral Inspection Findings
Roots Si 7 f /
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr ansition
White Copy: Pr oper ty Owner
Time C7 7 • • O '' o pm
Owner /Occupant Signature
4" to 6" Transition: A`�
0
Length of Service:
[1J
Street Name _ ' 2/7//
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
Yellow Copy: City of Eagan
Record Number
A
l 'ho j ne" /
/ Jf.
insp Signature
Obstruction
Unable to push past
feet
Number of stacks / Entered S L at S
} . cram
Time c 3 d 2 Q pm
For information call 65 L470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
Final Cleanout: // 4,-4,
Pink Copy: SEH
Nurisber
Correctly
Discharged.--
Incorrectly Unknown
Notes _ 610,7/1 i �}`
C A,, i 4 c "
- / r wr rdvv 2,7 (^
f f'11 ''sl�� �' 'sir �*�' � ,*-
1 �} - i ';�z°
Total
Sum P pumps
Y
�. - -•
Foundation drains
- .7.
1 ��--°
_ f
` "
'�;
Roof drains
City of I a au
Residential Sanitary Sewer Service
Compliance Inspection
Date , 1 l c' 1
Name 6 6 .. /,46744 Disk #
PID Number
House Number /Z S-
Alternative Mailing Address
Compliance pliance
No foundation drain connection
z k' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
fq No sump pump
Service Lateral Inspection Findings
Roots Si 7 f /
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tr ansition
White Copy: Pr oper ty Owner
Time C7 7 • • O '' o pm
Owner /Occupant Signature
4" to 6" Transition: A`�
0
Length of Service:
[1J
Street Name _ ' 2/7//
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
Yellow Copy: City of Eagan
Record Number
A
l 'ho j ne" /
/ Jf.
insp Signature
Obstruction
Unable to push past
feet
Number of stacks / Entered S L at S
} . cram
Time c 3 d 2 Q pm
For information call 65 L470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
Final Cleanout: // 4,-4,
Pink Copy: SEH