2101 Quartz Lane - Inspection FormCity of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date f 1 7 / 1 /0
Name M/ (Ai /7 /' £Sisk
PID Number
House Number
Alternative MailingAddress
Compliance
No foundation drain connection
; E5 No roof drain connection
A O Sump pit. not connected to
sanitary sewer
O Sump pump properly piped
jcf No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time 6 7 pm
zEE -L10]
Street Name _ Cr
7 ✓
/4/
Owrrerl0ccupant Si� g�n"dYn�e.,�
For information call 651.470.2788
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 1 Entered S..L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
�c 6. Length of Ser vice:
Phpne ,/k74 s 0 e'- s..3
i
,spector Signature
Yellow Copy: City of Eagan
Record Number
•
Time 0 •
Obstruction
Unable to push past
feet.
7 r Oam
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SFH
Notes G-0v i 6- )6
yG- ' i j < ,,
Number.,lDiscl�arged
Correctly
Incorrectly
Unknown
Total
Sump pumps
______
-
Foundation drains
"-
_
. —. ,... -----
-.-._..__
Roof drains
—._ _
.,. _.._.�_._._____
City of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date f 1 7 / 1 /0
Name M/ (Ai /7 /' £Sisk
PID Number
House Number
Alternative MailingAddress
Compliance
No foundation drain connection
; E5 No roof drain connection
A O Sump pit. not connected to
sanitary sewer
O Sump pump properly piped
jcf No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time 6 7 pm
zEE -L10]
Street Name _ Cr
7 ✓
/4/
Owrrerl0ccupant Si� g�n"dYn�e.,�
For information call 651.470.2788
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 1 Entered S..L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
�c 6. Length of Ser vice:
Phpne ,/k74 s 0 e'- s..3
i
,spector Signature
Yellow Copy: City of Eagan
Record Number
•
Time 0 •
Obstruction
Unable to push past
feet.
7 r Oam
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SFH