4287 Jasper Dr - Inspection FormEity oltap "
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 2-1 4)
Name % l l44 / ( L' '' Disk #
Alternative I1iailingAddress
wnerlOccupant Signature
Compliance
O No foundation drain connection
C' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A te' No sump pump
Service Lateral Inspection Findings
Roots
Time { 2. (20
• 2o o cfram
pm
L: J
O
O
O
O
O
PID Number
House Number' cF7 Street Name _
Non - Compliance
Record Number
For information call 651.470.2788
Obstruction
Unable to push past
feet
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks / Entered S. L at _. r1 r'
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition I 1 V C . ( (1, , • ? r
4" to 6 "Transition:
White Copy: Piopei ty Owner
( A Length of Service:
Yellow Copy: City of Eagan
4 ,.f
Time ? : - c)
lam
0 pm
Pho
> Inspector Signature
r ,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:,.
Pink Copy: SEH
Total
Notes
✓G'
r
I Z � , `� p
- l✓
/4
.g 'L- .- ,.',: - t 7�,- y
/ ( f 7 '''
i�f" 4A _
/
`. NurMber
Discharged
Correctly
Incorrectly Unknown
Sump pumps
�,
�,
-_- ~ _
n
__ _.
Foundation drains
j -
Roof drains
`
!
Eity oltap "
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 2-1 4)
Name % l l44 / ( L' '' Disk #
Alternative I1iailingAddress
wnerlOccupant Signature
Compliance
O No foundation drain connection
C' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A te' No sump pump
Service Lateral Inspection Findings
Roots
Time { 2. (20
• 2o o cfram
pm
L: J
O
O
O
O
O
PID Number
House Number' cF7 Street Name _
Non - Compliance
Record Number
For information call 651.470.2788
Obstruction
Unable to push past
feet
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks / Entered S. L at _. r1 r'
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition I 1 V C . ( (1, , • ? r
4" to 6 "Transition:
White Copy: Piopei ty Owner
( A Length of Service:
Yellow Copy: City of Eagan
4 ,.f
Time ? : - c)
lam
0 pm
Pho
> Inspector Signature
r ,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:,.
Pink Copy: SEH