4229 Jasper Dr - Inspection Form41111k-
City aI hp
n
Residential Sanitary Sewer Service
Compliance Inspection
Date _ Time
��1
' y �9� � )
Name � r! - , '/ 1 1
PID Number
Street Name
House Number
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1-;Y-
i �J
Alternative Mailing Address
f r— I
� F 1 f ;
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
White Copy: Pr operty Owner
}
Disk #
• am
pm
Number of stacks
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 Length of Service:
Yellow Copy: City of Eagan
Record Number
<
Time i F
Phone C'
•
Inspector Signature
Obstruction
Unable to push past
feet.
Entered S L at -
No Access
O Noonein
O Access to service
lateral needed
O Inspection
refused
.Final Cleanout: L i r7
Pink Copy: SEH
Number Discharged
Unknown
Notes,
t .f/� ' 1 i ks" ✓ � .. �I ' . '`' . ' / °' z
l
Total
Correctly
Incorrectly
Sump pumps
" '
Foundation drains
Roof drains
`
41111k-
City aI hp
n
Residential Sanitary Sewer Service
Compliance Inspection
Date _ Time
��1
' y �9� � )
Name � r! - , '/ 1 1
PID Number
Street Name
House Number
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1-;Y-
i �J
Alternative Mailing Address
f r— I
� F 1 f ;
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
White Copy: Pr operty Owner
}
Disk #
• am
pm
Number of stacks
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 Length of Service:
Yellow Copy: City of Eagan
Record Number
<
Time i F
Phone C'
•
Inspector Signature
Obstruction
Unable to push past
feet.
Entered S L at -
No Access
O Noonein
O Access to service
lateral needed
O Inspection
refused
.Final Cleanout: L i r7
Pink Copy: SEH