4307 Amber Dr - Inspection FormCity of td u
�
Residential Sanitary Sewer Service
Compliance Inspection
1 2 1 /� Time '� • •
Date i O
Name / ' V I /i(2 <2/ I( Disk #
PID Number
House Number / ?) Street Name
Alternative Mailing Address
/1.
OwnerlOccupant Signature
Compliance
o foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
r 1 �- ' /J(�� L r �!
Transition / s.
4" to 6" Transition:
47/6e
White Copy: Property Owner
., /7
dtam
0 pm
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 Service:
Yellow Copy: City of Eagan
Record Number
f {
.77
Inspector Signature
• d
Time - ` pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S L at - ''
Roots 72 r..-`-
/
Poor Pipe joints
Pink Copy: SEH
Number Discharged
Unknown
Notes /! ' �°
l / � ,,�
C1 iii y 'a' y ,+ w
P
..
Total
Correctly
Incorrectly
Sump pumps
°----
- - - -�e
_ �_ _ _
.
Foundation drains
1" _ 0
`° -- - ---
- -------. --
—____ _ - -
Roof drains
_
City of td u
�
Residential Sanitary Sewer Service
Compliance Inspection
1 2 1 /� Time '� • •
Date i O
Name / ' V I /i(2 <2/ I( Disk #
PID Number
House Number / ?) Street Name
Alternative Mailing Address
/1.
OwnerlOccupant Signature
Compliance
o foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
r 1 �- ' /J(�� L r �!
Transition / s.
4" to 6" Transition:
47/6e
White Copy: Property Owner
., /7
dtam
0 pm
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 Service:
Yellow Copy: City of Eagan
Record Number
f {
.77
Inspector Signature
• d
Time - ` pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S L at - ''
Roots 72 r..-`-
/
Poor Pipe joints
Pink Copy: SEH