4271 Jasper Dr - Inspection FormSump pumps
Foundation drains
/
Roof drains
-')
City or . a oo
Residential Sanitary Sewer Service
Compliance Inspection
/� • 3 %am
Date 1 - 1 i Time T� � ✓p m
Name r ) ( e Disk #
PID Number
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ 1 No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2
4" to 6" Transition:
OwnerlOccupant Signature
White Copy: Property Owner
2,1
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
Service Lateral Inspection Findings Number of stacks
Roots ) °{ � ' l
Poor PipeJoints
-_)— Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Time
am
pm
House Number <• F- L Street Name /",?
J
Alternative Mailing Address Phone . 51 _ -- 7 f
Obstruction
Unable to push past
feet
inspector Signature
Notes
{
For information .call 651:470.2788
/)
74 Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
� r
Entered S. L at
.'_
Pink Copy: SEH
Notes
Nunsber
Correctly
. - - ----
Discharged -
Total
Incorrectly
0 known
P 0 r 4
L/A/ / 4 _6 (,c-r
Dui i ,-----' (-1.- 1
(;.- - .
i C' . ' '- ( •-•=-1 • e' i (5 ' 1 --
Sump pumps
Foundation drains
_. _--
-----------------
_
_______
Roof drains
_....- , ....
..../>
-<.__J
,_-----.-_.„—
r
D i4°7
1111111. City 1)1 t'apa
Residential Sanitary Sewer Service
Compliance Inspection
Date /Vc</ 7-Z7/ //c2
Name Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.4701788
Non-Compliance
0eN foundation drain connection 0
O No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Compliance
Mineral Deposits
4" to 6" Transition:
Z 7 /
Street Name
OwnerlOccupant Signature
White Copy: Ptopei ty Owner
j7•• 0 am
Time 1 1( 7 C) e
pm
Service Lateral inspection Findings
Roots , - ci
Poor Pipe Joints
0
Ldd
Clear water connections to
sanitary sewer
Ser vice lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks (. Entered S.L at
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
(1/ 72 ,c "--
/ 0
Yellow Copy: City of Eagan
Record Number.
•
Time •
Obstruction
Ur9bie, to push past
7. feet
64
/ 1 ..)c'..f
,apector Signature
Pm
Pm
Ph 91 S/)$/
1
Access to service
lateral needed
Final Cleanout:'
Pink Copy: SEH