4229 Limestone Dr - Inspection Formt Vt 1 1)
City (If Eag,au
Residential Sanitary Sewer Servic
Compliance Inspection
Date ='
Name
PO Number
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time : , •- " ,e pm
Disk # 1 1
House Number 'y' Street Name
Owner /Occupant Signature
LLJ-[IJ
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
Time
For information caf 65
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots -
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "T•ansition:
White Copy: Proper ty Owner
Length of Service:
k 47t.uixk... ° ` - ; i'l /D ct - 1 p
Phone) /
Notes
Inspector Signature
pf,_ ` =(ty?
Final Cleanout:
Q im
O pm
No Access
No one in
O Access to service .
lateral needed
0 Inspection
refused
}
Yellow Copy: City of Eagan ' % Pink Copy SEH
Number Discharged
Total
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
t Vt 1 1)
City (If Eag,au
Residential Sanitary Sewer Servic
Compliance Inspection
Date ='
Name
PO Number
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time : , •- " ,e pm
Disk # 1 1
House Number 'y' Street Name
Owner /Occupant Signature
LLJ-[IJ
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
Time
For information caf 65
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots -
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "T•ansition:
White Copy: Proper ty Owner
Length of Service:
k 47t.uixk... ° ` - ; i'l /D ct - 1 p
Phone) /
Notes
Inspector Signature
pf,_ ` =(ty?
Final Cleanout:
Q im
O pm
No Access
No one in
O Access to service .
lateral needed
0 Inspection
refused
}
Yellow Copy: City of Eagan ' % Pink Copy SEH
City of
Residential Sanitary Sewer Service
Compliance Inspection
J • 0 am
Date I 1 1 / Time / ; •'•- � xrprn
Name ,- 'f •`, e( Ck6e
PID Number
House Number 9 � Street Name
Z di(
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Damaged Pi es
{{
Transition
4" to 6" Transition:
White Copy: Property Owner
Disk ##
/ '` l
h
OwncrlOccupant Signature
For: inforrnation call 651:470.2788
Non - Compliance
Clear water connections to
sanitary sewer X.04
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral inspection Findings Njjmberofstacks ( Entered S.L.at . t_ �7 'Y -
Poor Pipejoints
Mineral Deposits
d I t - .mo
Sag /Pipe Deflection
/( (
L]
fre ` iv rte
Length of Service: VI c
6
Yellow Copy: City of Eagan
Record Number
r:-
i
PI • b am
Time • m
Pho e i���
r /` 7
lrfspec Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cleanout:
. s/i 1 //2L,`
J - j �" .S ,r
�� /(9 ( gP
p1Sclle6 r r
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
,f
Foundation drains
1 —
(f iJ' <
Roof drains
,� _ --
City of
Residential Sanitary Sewer Service
Compliance Inspection
J • 0 am
Date I 1 1 / Time / ; •'•- � xrprn
Name ,- 'f •`, e( Ck6e
PID Number
House Number 9 � Street Name
Z di(
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Damaged Pi es
{{
Transition
4" to 6" Transition:
White Copy: Property Owner
Disk ##
/ '` l
h
OwncrlOccupant Signature
For: inforrnation call 651:470.2788
Non - Compliance
Clear water connections to
sanitary sewer X.04
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral inspection Findings Njjmberofstacks ( Entered S.L.at . t_ �7 'Y -
Poor Pipejoints
Mineral Deposits
d I t - .mo
Sag /Pipe Deflection
/( (
L]
fre ` iv rte
Length of Service: VI c
6
Yellow Copy: City of Eagan
Record Number
r:-
i
PI • b am
Time • m
Pho e i���
r /` 7
lrfspec Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cleanout:
. s/i 1 //2L,`
J - j �" .S ,r
�� /(9 ( gP
p1Sclle6 r r
Pink Copy: SEH