4296 Jasper Dr - Inspection Form411 'Pita
Residential Sanitary Sewer Service
Compliance Inspection
Date (9 i Ze I /c
Name ? /c /'/
PID Number
House Number 4:72 9/
Alternative Mailing Address
For information call 651.470.2788
Compliance
0 No foundation drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No roof drain connection
No sump pump
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposit c/
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
Time 07• (...C' 41 0 pm
Disk #
Street Name
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
J/
I
/s. "r
Damaged Pipe 1.j f is
0
Number of stacks
,Length of Service: f --
Yellow Copy: City of Eagan
Record Number
Phone
EfIn
•
Time 7)7 • r o pm
Obstruction
Unable to push past
feet
r i
/n /1 . f. / -7
Signature
No Access
O No one in
Entered S L.at ...5‘,V4C C
O Access to service
lateral needed
O Inspection
refused
tlI
Transition
Final Cleanout: rM ,
Pink Copy: SEH
3
Total
Notes��
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•
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Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
�
Roof drains
411 'Pita
Residential Sanitary Sewer Service
Compliance Inspection
Date (9 i Ze I /c
Name ? /c /'/
PID Number
House Number 4:72 9/
Alternative Mailing Address
For information call 651.470.2788
Compliance
0 No foundation drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No roof drain connection
No sump pump
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposit c/
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
Time 07• (...C' 41 0 pm
Disk #
Street Name
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
J/
I
/s. "r
Damaged Pipe 1.j f is
0
Number of stacks
,Length of Service: f --
Yellow Copy: City of Eagan
Record Number
Phone
EfIn
•
Time 7)7 • r o pm
Obstruction
Unable to push past
feet
r i
/n /1 . f. / -7
Signature
No Access
O No one in
Entered S L.at ...5‘,V4C C
O Access to service
lateral needed
O Inspection
refused
tlI
Transition
Final Cleanout: rM ,
Pink Copy: SEH
3