4405 Onyx Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date
Name SD
PID Number
House Number, Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
i
Id No roof drain connection
, O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Inspection Findings
Roots /...-- . , , . / ___. {' ,�
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe I
Transition
4" to 6" Transition:
White Copy: Pr Owner
/-71A .
Ow rlOccupas YSignature
Time ✓ +L1} pm
Disk #
•
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 °/ Entered S L atc
Length of Service:
Yellow Copy: City of Eagan
Phone 7. 2 _ c>
Record Number
Obstruction
Unable to push past
feet
Notes
-
am
Time Pm
Inspector Signature
- ___ _ -a , d-- : rte'` i : r',
-
. "P
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: a t ' j 1) 4 ,
! , • �_.
Pink Copy: SEH
Total
Number_ Discharged •
Correctly Incorrectly
Unknown
Sump pumps
Foundation drains /
,,
1 f
i
Roof drains
ti
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name SD
PID Number
House Number, Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
i
Id No roof drain connection
, O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Inspection Findings
Roots /...-- . , , . / ___. {' ,�
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe I
Transition
4" to 6" Transition:
White Copy: Pr Owner
/-71A .
Ow rlOccupas YSignature
Time ✓ +L1} pm
Disk #
•
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 °/ Entered S L atc
Length of Service:
Yellow Copy: City of Eagan
Phone 7. 2 _ c>
Record Number
Obstruction
Unable to push past
feet
Notes
-
am
Time Pm
Inspector Signature
- ___ _ -a , d-- : rte'` i : r',
-
. "P
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: a t ' j 1) 4 ,
! , • �_.
Pink Copy: SEH
