4247 Limestone Dr - Inspection Formor taPn
Residential Sanitary Sewer Service
Compliance Inspection
Dated�/� 'Oam
//� !_ Time, • Pm
ti..J 111iii
Name i?",Disk #
Record Number
Time
a�+sw+m
•
PID Number
House Number Street Name '--� `I ' 0/1
Alternative Mailing Address Phone
}
OwnerlOccupant Signature
inspector Signature
a
Pm
For information .call 651:470:2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
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
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Service Lateral Inspection Findags Number of stacks
`
Roots /- -
1
Entered S.L. atf/�
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
/1
4" to 6" Transition:
Length of Service:
J
final Cleanout: f
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number.
Discharged
Notes
Jam_
Total
Correctly
Incorrectly
Unknown
GJ' l I�� >C '"G
) r
Sump pumps
"7` <-%
Foundation drains
Jo „�,, ,._c,-/,
Roof drains
J /)
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Cit,y a
Resident San Sewer Service
Compliance Inspection
Date ova 1, Z. 9 1 /a
5
Name t / ; / Disk #
r
PID Number
House Number
Alternative Mailing Address
For information call :651.470.278
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
p` No sump pump
/ 1
6 -fir' , <� - ✓r'_._.te
Owner /Occupant Signature
i J
4" to b" Transition:
White Copy: Property Owner
Time OP • t9 76 0 Pm
77 Street Name �!' "� f i�' ✓
P one 7 6--f 7 ) 7 " r ('
1 . , /
W ! ,inspector Signature
,
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:
1 r ,rf` 7 2
Yellow Copy: City of Eagan
Record Number S /
-am
Time ( v' ` pm
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number' of stacks ( Entered S. L at J j r.4t4 -
Roots r 75 C,
O
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: ti VAt /'
Pink Copy: SEH
Total
Notes , - 4� a z;/v
/ -r -Cry ,
" ! 0 .�! r rr f " f ?�tt' .;� ` `
a
ve -/
. : e
- , r 's - �T`': ^?
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
.._ _.._.s- ,.,.
- -- ---°Y
_
Foundation drains
Roof drains
(;<-)----'
r
e „_r -
—" °--
Cit,y a
Resident San Sewer Service
Compliance Inspection
Date ova 1, Z. 9 1 /a
5
Name t / ; / Disk #
r
PID Number
House Number
Alternative Mailing Address
For information call :651.470.278
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
p` No sump pump
/ 1
6 -fir' , <� - ✓r'_._.te
Owner /Occupant Signature
i J
4" to b" Transition:
White Copy: Property Owner
Time OP • t9 76 0 Pm
77 Street Name �!' "� f i�' ✓
P one 7 6--f 7 ) 7 " r ('
1 . , /
W ! ,inspector Signature
,
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:
1 r ,rf` 7 2
Yellow Copy: City of Eagan
Record Number S /
-am
Time ( v' ` pm
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number' of stacks ( Entered S. L at J j r.4t4 -
Roots r 75 C,
O
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: ti VAt /'
Pink Copy: SEH