4278 Limestone Dr - Inspection Formof a
Residential Sanitary Sewer Se .
ompliance Ins t
Date 7 19i 1!o
P1D Number
Name
House Number
Roots
7!'c Cc_
�..�
Alternate Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: ,,.,,
am
Time : 90 O pm
Disk #
Street Name
For Information call 651.470.2788
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4s sue, C l
Yellow Copy: City of Eagan
Record Number gi 70
Obstruction
Length of Service: ,r0d7
1 1
Time
AAA-
Phone
Unable to push past
feet
='c3
Inspector Signature
o am
o pm
7),r
-S f'
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Entered S.L at r i C l i�
Final Cleanout: /(r
Number Discharged
Sump Pumps
Foundation Drains
Roof Drains
Total
Correctly
Incorrectly Unknown
Notes
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
0 6ft9A-k
4111111- .
City ol tapo
Residential Sanitary Sewer Service
Compliance Inspection
Date 7I
Name t))
)
PID Number
House Number
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
4" to 6"Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
•
Time / 7 • pm (.. `")0 arn
,
;
ri
i
Disk#
Total
Street Name
Owner/Occupant Siknature
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
LLi
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
Record Number
1
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C-7;?://-f
..., ..,.. ., ,,,, ,.. ..,„ , e' ,,,---- ___,,..,, ) ..-..t
L_---.
Length of Service:
Notes
Time
am
•
• 0 pm
Phone
'Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
0 No one in
c„)
Access to service
lateral
0 Inspectio
refused
Service Lateral Inspection Findings Number of stacl<s Entered S..L.at
Roots
Pipe Joints ..i.x.),-?: ? ....- --- 1::-... ' '' 1 ..
.... --- '".-
1
Poor
- i- .--
/
.
)
Sag/Pipe Deflection 7 i y
., ''../ - ' - ' 7 ,- -) ii.i:r7)---i.- - //7...-, 194- -. ,'
._.,--1
Damaged Pipe 1/1-
, ., i v c - ,!--.. ...:'-'''... ,'.;- ._..-'
--, A ., - I • / /? --, ----) / -I e.' _ C" .I.A.,./ „V /1..4- '1-7
Transition
Pink Copy: SEH