4260 Limestone Dr - Inspection Form" City of gala
Residential Sanitary Sewer Service'
Compliance Inspection
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Time
Name
am
pm
Record Number
Disk #
PID Number
House Number %( Street Name _ ! 1icv
Alternative Mailing Address
Time
O -
-
cm(
Phone 4,-77
C %
Owner/Occupant Signature
am
Pm
0
Inspector Signature
For information call 651..470.2788
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
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Number of stacks
Entered S . at )� �....�a'
Transition
4" to 6" Transition:
_/
Length of Service:
tom=' /-`,/./
,irial Cleanout: T p
Total
Number Discharged:
Correctly incorrectly Unknown
Sump pumps
j /1
Foundation drains
X
Roof drains
�,,:'
Notes
)62 �7
.g9/11' r /
White Copy: Property Owner
Yellow Copy: City of Eagan 3 Pink Copy: SEH
L
Residential Sanitary Sewer Servic
Compliance Inspection
Date 71 / J1 Time
Name ✓
f/ / disk #
±5
Record Number
PID Number
House Number
i
/Street Name
Alternative MailingAddress
Time
O am
• o pm
Owner/Occupant Signature
Phone �; . 1 ` f �_..._ c
Inspector Signature
For information call 651.4701788
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
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
Obstruction
Unable to push past
feet
ccess
No one in
Access to service
lateral needed
O inspection
refused
Service Lateral Inspection Findings
Roots
PoorPipeJoints
Mineral Deposits
Sag/Pipe Deflection
Number of stacks
Entered S L at
Damaged Pipe
Transition
4" to 6"Transition:
Length of Service:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number. Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH