4230 Limestone Dr - Inspection FormCity of Fiala
Residential Sanitary Sewer Service
Compliance inspection
Date 0 6I 7o / /0
Name k7//,/1/
PID Number
House Number
/4? 7 c)
Alternative Mailing Address
q
/`
Time
r
t Ow.4r6ccup aarfi ti S ignatare r
_rb warn
• .f Cl o pm
0
6'
Record Number
Street Name
Ph o e (C4 I 7_.l` ' c2/1
f -
Ipspector Signature
Time (7.
,, ._ J o pm
For information cal1 651.470.2788
Compliance
Q No foundation drain connection
; +D No roof drain connection
EA
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
t
//
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
Mineral Deposits
Sag /Pipe Deflection ( J f 'f p -6 .
Damaged Pipe
Transition L t t. t f /
) / / J r, � ro . 4
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S L. at
F
Roots 7
Poor PipeJointss
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: 77 Final Cleanout:
Pink Copy: SEH
Total
Notes Ot '- / 6 ,- 296,-„-„,,. , .,
J` ?-1 -777 ,..
s
—/Att! c f[ r �c.r' ) 7.7 - 2,,,..1
ff ( � 'l< 4 4p C2
6- 0 c:/' " ` 1% " / ./Fr ,• ;
Number.Discharged
Correctly
incorrectly
Unknown
Sump pumps
._..r. —
Foundation drains
�J 3 .
Roof drains
__w.. -/
_
City of Fiala
Residential Sanitary Sewer Service
Compliance inspection
Date 0 6I 7o / /0
Name k7//,/1/
PID Number
House Number
/4? 7 c)
Alternative Mailing Address
q
/`
Time
r
t Ow.4r6ccup aarfi ti S ignatare r
_rb warn
• .f Cl o pm
0
6'
Record Number
Street Name
Ph o e (C4 I 7_.l` ' c2/1
f -
Ipspector Signature
Time (7.
,, ._ J o pm
For information cal1 651.470.2788
Compliance
Q No foundation drain connection
; +D No roof drain connection
EA
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
t
//
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
Mineral Deposits
Sag /Pipe Deflection ( J f 'f p -6 .
Damaged Pipe
Transition L t t. t f /
) / / J r, � ro . 4
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S L. at
F
Roots 7
Poor PipeJointss
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: 77 Final Cleanout:
Pink Copy: SEH