4241 Limestone Dr - Inspection FormCity of tam
Residential Sanitary Sewer Service
Compliance Inspection
Date (27/ /
-
Name rJ f -/ C `°
PID Number
House Number.
Alternativ ailing Ad® Tess
For information call .651.470.2788
Compliance
O No foundation drain connection
f 'No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Poor Pipe Joints
Service Lateral Inspection Findings
Roots 7,"?
w i
4" to 6" Transition:
Z 4:" :7 7; 1/ CStreet Name
erlOccupant Signature
• "�' . am
Time � •---SO o pm
6
Disk #
0
7
L
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
7 (if' Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Ir
lime
Obstruction
Unable to push past
feet
i
°p am
® r O pm
Phone
g7) F < / •
! ,/ 4v
/ /inspector Signature
No Access
O No one in
Entered S.L. at — t.
Final Cleanout:r
Notes ��.:
t
O Access to service
lateral needed
O Inspection
refused
( ra m
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
f ‹
City of tam
Residential Sanitary Sewer Service
Compliance Inspection
Date (27/ /
-
Name rJ f -/ C `°
PID Number
House Number.
Alternativ ailing Ad® Tess
For information call .651.470.2788
Compliance
O No foundation drain connection
f 'No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Poor Pipe Joints
Service Lateral Inspection Findings
Roots 7,"?
w i
4" to 6" Transition:
Z 4:" :7 7; 1/ CStreet Name
erlOccupant Signature
• "�' . am
Time � •---SO o pm
6
Disk #
0
7
L
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
7 (if' Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Ir
lime
Obstruction
Unable to push past
feet
i
°p am
® r O pm
Phone
g7) F < / •
! ,/ 4v
/ /inspector Signature
No Access
O No one in
Entered S.L. at — t.
Final Cleanout:r
Notes ��.:
t
O Access to service
lateral needed
O Inspection
refused
( ra m
Pink Copy: SEH
\ VOA
Residential Sanitary Sewer Selavic
Compliance Inspection
Date L 1 1? / !�
Name /- ° '417
PID Number
House Number p 4� Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651
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
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/ • Oam
Time !C •;J ✓p` p
o..ELI—arm
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.at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
• --
•
A
Phone
i ' ' 7";1/
i Inspector Signature
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH
Nunsber.Disc
Correctly
har ed
Notes 3, • , ,1
!J 1i
"` .. ' viV(k. z�
i
i
i
.. % I ��.. 1 , „ '
i
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
\ VOA
Residential Sanitary Sewer Selavic
Compliance Inspection
Date L 1 1? / !�
Name /- ° '417
PID Number
House Number p 4� Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651
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
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/ • Oam
Time !C •;J ✓p` p
o..ELI—arm
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.at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
• --
•
A
Phone
i ' ' 7";1/
i Inspector Signature
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH