2127 Jade Pt - Inspection Formr City rif Gala°
Residential Sanitary Sewer Service
Compliance Inspection
Date '� I /
rn
Name
PID Number
i 9
House Number ▪ 1 /f Street Name
Alternative Mailing Address
Owner/ ccupant Signature
For information call 651 470.2
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Later
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection 7
Damaged Pipe
Transition L42
4" to 6" Transition:
White Copy: Property Owner
Time
Disk#
Inspection Findings
1 ' lf:7 1-4
•v 40 am
' J • O pm
P4-
Non - Compliance
Clear water connections
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Record Number
q
J Time l (_.1' •
Phone �
Inspector Signature
Obstruction
to Unable to push past
feet
Entered 5 Lai
Length of Service: q(::.1;;
i ; 7/ Final Cleanout:
Yellow Copy: City of Eagan
X ?
yam_ , „.•Xl am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
-- �._'�' :i=
Pink Copy: SEH
Total
Nurrrb
Correctly
Incorrectly
Unkno .
y7 ,,E% ' c 'f '( ?;
��°^ r 1 �'� I. / .
° /` jY "=
_°`��'_ - �... ,..---,(
___..e...— x ./ Y°-. ? _ 1 " ';
Sump pumps
,Foundation drains
f �.,
� - 1`�f
Roof drains
f a
)7 4- / ! L ., ' ? r of = ` ° r `
r City rif Gala°
Residential Sanitary Sewer Service
Compliance Inspection
Date '� I /
rn
Name
PID Number
i 9
House Number ▪ 1 /f Street Name
Alternative Mailing Address
Owner/ ccupant Signature
For information call 651 470.2
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Later
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection 7
Damaged Pipe
Transition L42
4" to 6" Transition:
White Copy: Property Owner
Time
Disk#
Inspection Findings
1 ' lf:7 1-4
•v 40 am
' J • O pm
P4-
Non - Compliance
Clear water connections
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Record Number
q
J Time l (_.1' •
Phone �
Inspector Signature
Obstruction
to Unable to push past
feet
Entered 5 Lai
Length of Service: q(::.1;;
i ; 7/ Final Cleanout:
Yellow Copy: City of Eagan
X ?
yam_ , „.•Xl am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
-- �._'�' :i=
Pink Copy: SEH