4302 Amber Dr - Inspection FormCity lit 'ha afl
Residential Sanitary Sewer Service
Compliance Inspection
Date A 1 1 /L�
Name r - 2 #
PID Number
House Number Z / ?0 7
Alternative Mailing Address
For information call 651.470.2788
OwnerlOccupant Signature
Compliance
No foundation drain connection
x 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 5 3 , 6
Time C' S o p
Poor Pipe Joints
Mineral Deposits 4? 5 6
Sag /Pipe Deflection e rG .: -
Damaged Pipe
Transition
White Copy: Proper ty Owner
Street Name
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
4" to 6" Transition: /f , a ; Length of Service:
Number of stacks f Entered St. at
Yellow Copy: City of Eagan
Ll
Record Number
!.s
Time
am
_.- O p
Phhne d s'l /E'?
y Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink'Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes (?0 �r
-°. C.�' !• '� f la,.' %-
/ 1.--.
Total
Sump pumps
i
.,,
Foundation drains
Roof drains
_.` —
City lit 'ha afl
Residential Sanitary Sewer Service
Compliance Inspection
Date A 1 1 /L�
Name r - 2 #
PID Number
House Number Z / ?0 7
Alternative Mailing Address
For information call 651.470.2788
OwnerlOccupant Signature
Compliance
No foundation drain connection
x 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 5 3 , 6
Time C' S o p
Poor Pipe Joints
Mineral Deposits 4? 5 6
Sag /Pipe Deflection e rG .: -
Damaged Pipe
Transition
White Copy: Proper ty Owner
Street Name
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
4" to 6" Transition: /f , a ; Length of Service:
Number of stacks f Entered St. at
Yellow Copy: City of Eagan
Ll
Record Number
!.s
Time
am
_.- O p
Phhne d s'l /E'?
y Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink'Copy: SEH