4352 Onyx Pt - Inspection FormCity of. a
Residentia Sanitary Sewer Service
Compliance Inspection
Date & 1 / 7 1
Name R - / /6/(
` !/ /%' Disk #
ND Number
House Number Street Name _ .f!` A T
Alternative Mailing Address
For information call '65 1.70.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Servi LLateral Inspection Findings
Roots, ? , s,-(i+ , d
�'
c
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition L/ iN /( V
4" to 6" Transition:
White Copy: Property Owner
i! 1- {
.,err
f of
G7wne' (IOccupg t ignature
• oam
Time ( � e pm
0
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
lr er of stacks
Length of Service:
[d _91
Yellow Copy: City of Eagan
r'J i i „!
Record Number --
„ f /^
� � � ( ``.'1 , tom: a'�� s
oam
Time • ;7_, tm
Pho ` � . 3 • • .2
,7f1
�f / .
/7 .- �..
1 I pector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
nr
Entered S L at // f< t 6
c-P
Final Cleanout:
.. tritt
C / :20 .>
Pink Copy: SEH
Total
�, i
Number Discharged
Correctly
incorrectly
Unknown
Sump pumps
~
Foundation drains
Roof drains
City of. a
Residentia Sanitary Sewer Service
Compliance Inspection
Date & 1 / 7 1
Name R - / /6/(
` !/ /%' Disk #
ND Number
House Number Street Name _ .f!` A T
Alternative Mailing Address
For information call '65 1.70.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Servi LLateral Inspection Findings
Roots, ? , s,-(i+ , d
�'
c
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition L/ iN /( V
4" to 6" Transition:
White Copy: Property Owner
i! 1- {
.,err
f of
G7wne' (IOccupg t ignature
• oam
Time ( � e pm
0
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
lr er of stacks
Length of Service:
[d _91
Yellow Copy: City of Eagan
r'J i i „!
Record Number --
„ f /^
� � � ( ``.'1 , tom: a'�� s
oam
Time • ;7_, tm
Pho ` � . 3 • • .2
,7f1
�f / .
/7 .- �..
1 I pector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
nr
Entered S L at // f< t 6
c-P
Final Cleanout:
.. tritt
C / :20 .>
Pink Copy: SEH