4353 Jasper Dr - Inspection FormResidential Sanitary Sewer Service
Cif D ' Eat a
City Compliance Inspection
Date 7 l � / 1 /
Name t/ / _j✓�✓ Disk 7
; �
PID Number.
House Number r
�-�n7 r Street Name
Alternative Mailing Address
Owner /Occupant Signature
V
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
j j 0 No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition € UV; / ( . fA,
i ,�
4" to 6" Transition:
White Copy: Property Owner
f o ..- ,0-am
Time ✓ "p pm
L LJ
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
c K 7
Length of Service:
Yellow Copy: City of Eagan
Record Number
9
■
Ph
Time
am
0 pm
,liisfiector Signature
For information calf 65 1.47017
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks _ I Entered S L at
a
Roots 7 .- .t f
Poor Pipe Joints
No Access
O No one in
O Access to service.
lateral needed
O Inspection
refused
Final Cleanout: ( /,,Tjrf
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes i 1 0 C r ;,�„i . -2
s r r +
ti
r l
r. oS5t6t 7
1 4, '6t ��
14 't -5) ' I6 (71772;0 /y,A4
Total
Sump pumps
r
-"`_,
Foundation drains
r
Roof drains
Residential Sanitary Sewer Service
Cif D ' Eat a
City Compliance Inspection
Date 7 l � / 1 /
Name t/ / _j✓�✓ Disk 7
; �
PID Number.
House Number r
�-�n7 r Street Name
Alternative Mailing Address
Owner /Occupant Signature
V
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
j j 0 No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition € UV; / ( . fA,
i ,�
4" to 6" Transition:
White Copy: Property Owner
f o ..- ,0-am
Time ✓ "p pm
L LJ
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
c K 7
Length of Service:
Yellow Copy: City of Eagan
Record Number
9
■
Ph
Time
am
0 pm
,liisfiector Signature
For information calf 65 1.47017
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks _ I Entered S L at
a
Roots 7 .- .t f
Poor Pipe Joints
No Access
O No one in
O Access to service.
lateral needed
O Inspection
refused
Final Cleanout: ( /,,Tjrf
Pink Copy: SEH