4317 Jasper Dr - Inspection FormSump pumps
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Foundation drains
Roof drainsC
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1 ni Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name :-.)/ rte, ✓ 77i g ,—,L Disk#
PID Number ��//
House Number / 7 Street Name _ 7511E'W
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C sump pump
Owner/Occupant Signature
Service Lateral Inspection Findings
Roots L 4'(
•
Poor Pipe Joints
Mineral Deposits z /e r •
4" to b" Transition:
White Copy: Property Owner
Time / 2 • • Oi1 p pm
Total Correctly
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
SaglPipe Deflection
Damaged Pipe
Transition --///a"
Length of Service: 7 - 5 >
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
c
f am
Time ///J ® 0 pro
r
Phone : ie ..,l7 7"
jr,L_ //) /7/
inEffector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
Entered S L at ,PT
A/c) mot: ✓fo)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: A 4
Notes ,1 /7 4
1
Pink Copy: SEH