4320 Amber Dr - Inspection Formr City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Date -2 7/ /c" l /
Name /2 Ze/1". --
PID Number
House Number
Alternative
r
'!
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
�` • ��f am
Time • o pm
Disk #
6 Street Name _ 7 y - -
Ili g Address
f
Owner /Occupa t Sigr azure
or pliiance
,. a f3 - 1Sio foundation drain connection
Service Lateral Inspection Findings
1 f%
Roots
10J—Eloi
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
/7f% ��' of Service:
Record Number
?i77-
0
P4ne
• , g a
Time • O pm
inspector Signature
Obstruction
Unable to push past
feet
For information call 651:470.2788
Number of stacks 1 Entered 5 L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
Final Cleanout:
64
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
j
Yellow Copy: City of Eagan Pink Copy: SEH
`Nunsber
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
t
Foundation drains
W - - -- -
Roof drains
r City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Date -2 7/ /c" l /
Name /2 Ze/1". --
PID Number
House Number
Alternative
r
'!
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
�` • ��f am
Time • o pm
Disk #
6 Street Name _ 7 y - -
Ili g Address
f
Owner /Occupa t Sigr azure
or pliiance
,. a f3 - 1Sio foundation drain connection
Service Lateral Inspection Findings
1 f%
Roots
10J—Eloi
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
/7f% ��' of Service:
Record Number
?i77-
0
P4ne
• , g a
Time • O pm
inspector Signature
Obstruction
Unable to push past
feet
For information call 651:470.2788
Number of stacks 1 Entered 5 L at
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
Final Cleanout:
64
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
j
Yellow Copy: City of Eagan Pink Copy: SEH