2029 Bluestone Lane - Inspection Form4011111
Cit of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
7 .�-.
Date b / 7 / 1l ;% Time
Name Disk #
Compliance
i 0 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
Service Lateral Inspection Findings
Roots ' , j, f } _ t1
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
_
1
PID Number
House Number � f Street Name
Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
Transition ,?.
Length of Service:
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
• Time
C �
Alternative Mailing Address Phone - 1 . )
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks i Entered S L at ,'
ern-
Yellow Copy: City of Eagan �Y`
(p .
inspector Signature
i > J
f ! .
Final Cleanout: ) �c
• _...770 0 a
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Copy: SEH
Number Discharged
Unknown '
Noes ) 1 E
/1Y
1 `" �' s J�~�
± l f I^
. 7 -. / y - - ; e Y l / i ` '�; \/
I pp
L -'.: / ,..✓ c:_ c:� r,.,..,✓ ,'
i
1 / , _ . f (..7-.1 / ]
Total
Correctly
Incorrectly
Sump pumps
X
Foundation drains
Roof drains
j 1 y
4011111
Cit of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
7 .�-.
Date b / 7 / 1l ;% Time
Name Disk #
Compliance
i 0 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
Service Lateral Inspection Findings
Roots ' , j, f } _ t1
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
_
1
PID Number
House Number � f Street Name
Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
Transition ,?.
Length of Service:
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
• Time
C �
Alternative Mailing Address Phone - 1 . )
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks i Entered S L at ,'
ern-
Yellow Copy: City of Eagan �Y`
(p .
inspector Signature
i > J
f ! .
Final Cleanout: ) �c
• _...770 0 a
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Copy: SEH