4230 Amber Dr - Inspection FormsNotes f�
Number.
Correctly
Discharged
�C) Lc 6' e. KcA -zz 3 J
e.. fi�`i/ L , , /v/vr` -p. . 17
7
f y�
i 1 )irl1 d/4'7 c
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
:'
.
--
City or tai
Residential Sanitary Sewer Service
Compliance inspection
Datee 7f 7 / l /0
• g am
Time G o p
Name j,.ry /si /'� c Disk#
PID Number
House Number c1
��._.� Street Name
Alternative Mailing Address
1 1.,A....Q>RA
White Copy: Propetty Owner
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
c o No sump pump
4" to 6" Transition: ;,0,,/ C/ " -y' 0
For information call 651470:2788
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 1
Roots e: ,
!'
PoorPipejoints _ �r
Mineral Deposits ' �
Sag /Pipe Deflection
Damaged Pipe (t f /t om / ' 1 174 f /C
i
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
• 71
Time V( ® ,) 3 o pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
5a?
w
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout: • ✓;�r.t'
Pink Copy: SEH
Notes f�
Number.
Correctly
Discharged
C ) ef) 6' -. KcA -zz 3 J
o ��
°°' ; L{ %> ' i ,i2A4,rs -7 . / ;.+' �/
(,(o { 7-7 __.
f y�
i 1 )ir- d/4'7 c
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
.
City or to
Residential Sanitary Sewer Service
Compliance inspection
Datee 7f 7 f / /0
• g am
Time G o p
Name i) 'J 3 / '� c . Disk #
PID Number
House Number 4 c�
��._.� Street Name
Alternative Mailing Address
1 1.,A....Q>RA
White Copy: Pr operty Owner
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
c o No sump pump
4" to 6" Transition: e. - 4T -y' 0
`
For information call 651470:2788
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 I
Roots K ,
!'
Poor Pipe Joints _ �r
Mineral Deposits ' � t ,
Sag /Pipe Deflection
Damaged Pipe ( f t / �: -'//t` f .._
i
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
• 71
Time f ® ,) 3 o pm
Vi i; :
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
5a?
. w
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
(
Final Cleanout: • ✓;�r.t'
Pink Copy: SEH