2014 Jade Lane - Inspection FormSump pumps
Foundation drains
L.�
Roof drains
City niliapa
Residential Sanitary Sewer" Service
Conripllance k spection
Date r
Name Disk #
PID Number sf
House Number �; J r Street Name
Alternative Mailing Address
r %Qwner lQccupont Signature
Mineral Deposits
For information`. call 65
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition # i
/j
4" to 6" Transition:
White Copy: Property Owner
Time
Total
Non - Compliance
O
O
O
O
O
Correctly
5.)0 Vani
• / pm
1 L )
Phone �rS- --
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral inspection Findings Number of stacks
Roots
Poor Pipe Joints
Incorrectly Unknown
Record Number
Length of Service: ( 77-
Obstruction
Unable to push past
feet.
Entered S,L.at
Notes
am
7 €me i / • _ pm
inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH