2166 Garnet Dr - Inspection FormCity of Ea ao
Residential Sanitary Sewer Service
Compliance Inspection
Date l'l' / 1
Name
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
Transition
4" to 6 "Transition:
} / Disk #
t2 2 Street Name
White Copy Proper ty Owner
am
Time ft /6 /6 pm
Owner /Occupant Signature
J-LE
1
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
Time
Notes
_•7 -4, '
Phone r!7 .) f C .. L%
Inspector Signature
For information call 65
Obstruction
Unable to push past
feet
O
•
• _ _O pm
Length of Service: Final Cleanout:
No Access
O. No one in
Access to service
lateral .aeedecl'
4- )/ 1 /('
) '1S "/
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Poor Pipe joints i\\ `/ -7 ` - Y 1 g":„. ■
Mineral Deposits ? S " f . . -/ ` i . -- , . ) - i i ,, 1 - f :� ,.--.. c_.:_ �1- l.-''
Sag/Pipe Deflection f ,: . ° ' ` f; i - ' / ..? r ' J - _ f
Damaged Pipe r
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
.:Discharged
Incorrectly
,
Unknown
Total
Sump pumps
Foundation drains
Roof drains
City of Ea ao
Residential Sanitary Sewer Service
Compliance Inspection
Date l'l' / 1
Name
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
Transition
4" to 6 "Transition:
} / Disk #
t2 2 Street Name
White Copy Proper ty Owner
am
Time ft /6 /6 pm
Owner /Occupant Signature
J-LE
1
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
Time
Notes
_•7 -4, '
Phone r!7 .) f C .. L%
Inspector Signature
For information call 65
Obstruction
Unable to push past
feet
O
•
• _ _O pm
Length of Service: Final Cleanout:
No Access
O. No one in
Access to service
lateral .aeedecl'
4- )/ 1 /('
) '1S "/
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Poor Pipe joints i\\ `/ -7 ` - Y 1 g":„. ■
Mineral Deposits ? S " f . . -/ ` i . -- , . ) - i i ,, 1 - f :� ,.--.. c_.:_ �1- l.-''
Sag/Pipe Deflection f ,: . ° ' ` f; i - ' / ..? r ' J - _ f
Damaged Pipe r
Yellow Copy: City of Eagan Pink Copy: SEH