4235 Jasper Dr - Inspection FormCity of Eon
Residential Sanitary Sewer Service
Compliance Inspection
Date (47
Name
PID Number
r
House Number > - --- Street Name
Alternative MailingAddress
For information call 651.470.2788 .
Compliance
0 No foundation drain connection
V No roof drain connection
Ai
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Time
/ '
Owner /Occupant Signature
2• dcl' am
• 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
i
Service Lateral 1nspscti p Findings Number of stacks
Roots '? 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe j f
Transition f :� !
4" to 6" Transition:
White Copy: Property Owner
6
Length of Service:
Yellow Copy: City of Eagan
Record Number
/ Fpam
me ! a f � { ( pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
L /
Entered S..L..at .... Il�-"� f
/7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ` 1 Ji
Pink Copy; SEH
Notes /} n j .
d j / J 1
j i ,
Nurr.ber
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
1
1
Foundation drains
Roof drains
';
City of Eon
Residential Sanitary Sewer Service
Compliance Inspection
Date (47
Name
PID Number
r
House Number > - --- Street Name
Alternative MailingAddress
For information call 651.470.2788 .
Compliance
0 No foundation drain connection
V No roof drain connection
Ai
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Time
/ '
Owner /Occupant Signature
2• dcl' am
• 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
i
Service Lateral 1nspscti p Findings Number of stacks
Roots '? 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe j f
Transition f :� !
4" to 6" Transition:
White Copy: Property Owner
6
Length of Service:
Yellow Copy: City of Eagan
Record Number
/ Fpam
me ! a f � { ( pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
L /
Entered S..L..at .... Il�-"� f
/7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ` 1 Ji
Pink Copy; SEH