2182 Garnet Pt - Inspection Form, --- .
::.:Nuniber
Correctly
Pischarge.
Incorrectly
Unknown
Total
,-----.),
Sump pumps
( 1
\-_,-/
Foundation drains
,%
.-i
Roof drains
()
411111 ',.,.. Cal lap
Residential Sanitary Sewer Service
Compliance Inspection
bate
Name
i /I)
," )
4
PID Number
:2 I
House Number / Street Name
Alternative MailingAddress
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
- --- Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition:
.'.White Copy: Pr operty Owiaet
•
Time •
Owner/Occupant Signature
7.
Disk #
Oj am
Pm
1 •
1
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
Number of stacks 4 Entered S L at
• /
i( , L. -7
Record Number
Obstruction
Notes
1'
F T Time •
-2• ,2 0 / em
pm
— - 7"
Phone 41 )
inspector Signature
For information call 651.470.2788
Unable to push past
feet
f
Length of Service:
No Access '
O No gritirr:_
O Access to service
lateral needed
o Inspection
refused
■
Yellow Copy: City of Eagan • Pink Copy: SEH