4254 Jasper Dr - Inspection FormCily ill LaRan
Residential Sanitary Sewer. Service
Compliance. Inspection
Date )/
Name /
Disk #
MD Number
House Number
Alter native Mairrig Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
• sanitary sewer
O Sump pump properly piped
# No sump pump
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pi oper ty Owner
- ')''Street Name
OwnerlQccupant Signature
arn
pm
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
Service Lateral inspection Findings Number of stacks I
Roots 1--
!)
A
Phone 4::"--1 -2(7
.
For information call 651 470 2788
Length of Service: ci
Record Number
5 5
Obstruction
Unable to push past
feet
/•,,,,< 9 "
0 Pm
• --
Inspector Signature
7)
Entered S.L
Notes
Final Cleanout:
'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan. Pink Copy: SEH
Nunober
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
..----)
Foundation drains
,---
Roof drains
L. _.-
Cily ill LaRan
Residential Sanitary Sewer. Service
Compliance. Inspection
Date )/
Name /
Disk #
MD Number
House Number
Alter native Mairrig Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
• sanitary sewer
O Sump pump properly piped
# No sump pump
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pi oper ty Owner
- ')''Street Name
OwnerlQccupant Signature
arn
pm
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
Service Lateral inspection Findings Number of stacks I
Roots 1--
!)
A
Phone 4::"--1 -2(7
.
For information call 651 470 2788
Length of Service: ci
Record Number
5 5
Obstruction
Unable to push past
feet
/•,,,,< 9 "
0 Pm
• --
Inspector Signature
7)
Entered S.L
Notes
Final Cleanout:
'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan. Pink Copy: SEH