4314 Amber Dr - Inspection FormCity of a r�
Residential Sanitary Sewer Service
Compliance Inspection
Date 71 Jq 1 ICS
Name
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
4" to 6 "Transition:
White Copy: Proper ty Owner
Time`- •
Disk #,
P1D Number
House Number aZ 1 Street Name
Alternative Mailing Address
/ ▪ i i f
1
"Ownerl0ccupant Signature
For information call 651A70.2788
Non - Compliance
o pliance
No foundation drain connection 0 Clear water connections to
No roof drain connection sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
No sump pump 0 Flexible, sump pump piping
Service Later nspec iQ9 Findin ss N tuber of stacks I
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 f
i2i — 1 - ) Gam;
p m
Pm
Phone )
Inspector Signature
Record Number
ime
Obstruction
Unable to push past
feet
Entered S L at
•
Notes
moo,
•
am
pm
No Access
O No one in
Length of Service: f - q — "' Final Cleanout: 1
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
V
Foundation drains
�)
Roof drains
c
City of a r�
Residential Sanitary Sewer Service
Compliance Inspection
Date 71 Jq 1 ICS
Name
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
4" to 6 "Transition:
White Copy: Proper ty Owner
Time`- •
Disk #,
P1D Number
House Number aZ 1 Street Name
Alternative Mailing Address
/ ▪ i i f
1
"Ownerl0ccupant Signature
For information call 651A70.2788
Non - Compliance
o pliance
No foundation drain connection 0 Clear water connections to
No roof drain connection sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
No sump pump 0 Flexible, sump pump piping
Service Later nspec iQ9 Findin ss N tuber of stacks I
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 f
i2i — 1 - ) Gam;
p m
Pm
Phone )
Inspector Signature
Record Number
ime
Obstruction
Unable to push past
feet
Entered S L at
•
Notes
moo,
•
am
pm
No Access
O No one in
Length of Service: f - q — "' Final Cleanout: 1
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH