2020 Zircon Lane - Inspection Formr
all of Da ii
Residential Sanitary Sewer Service
Compliance Inspection
Date 7 ( 1 d I Time r-V • 0 pm
9 i
Disk#
Name f
PID Number
House Number
2 .
White Copy: Property Owner
t'
4" to 6" Transition:
OwnerfOccupant Signature
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition LL
f
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 , /f
Roots - . .j
Yellow Copy: City of Eagan
Record Number
Street Name _ /� i / .
- /J (f5;94- j&
Alternative Mailing Address Phone i JJ �'�
For information call 651 470.2788
Entered S L at
- t j r s ---
Length of Service: Co _. C- V/7) Final Cleanout:
Notes
•
c..
Time •
inspector Srgnature
Obstruction
Uri p t' push past
feet
am
0 pm
No Access
O No one in
O Access to service
lateral needed
} Inspection
refused
Pink Copy: SEH
Number D
Discharged
Unknown
Total C
Sump pumps :
:, -%
Foundation drains
Roof drains '
'.Ji
all of Da ii
Residential Sanitary Sewer Service
Compliance Inspection
Date 7 ( 1 d I Time r-V • 0 pm
9 i
Disk#
Name f
PID Number
House Number
2 .
White Copy: Property Owner
t'
4" to 6" Transition:
OwnerfOccupant Signature
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition LL
f
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 , /f
Roots - . .j
Yellow Copy: City of Eagan
Record Number
Street Name _ /� i / .
- /J (f5;94- j&
Alternative Mailing Address Phone i JJ �'�
For information call 651 470.2788
Entered S L at
- t j r s ---
Length of Service: Co _. C- V/7) Final Cleanout:
Notes
•
c..
Time •
inspector Srgnature
Obstruction
Uri p t' push past
feet
am
0 pm
No Access
O No one in
O Access to service
lateral needed
} Inspection
refused
Pink Copy: SEH
Sump pumps
. A''
Foundation drains
r
'
Roof drains
P
City of Ea ap
Y �
Residential Sanitary Sewer Service
Compliance Inspection
1 7
1
Date !' /11 Time
Name _ , ` C'd'1 r J L-4)1 Disk #
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: .11): /
Owner/Occupant Signature
Service Lat,spection Findings
Roots �J . ,�',
White Copy: Property Owner
Total
�Ci p
. • pm
P[D Number
2.
House Number (i'f ( 2 Street Name .-
Alternative Mailing Address
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 ?stacks
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition -' /- 1 7
;r
t f
Le` gth of Service: . -/ - - -Final Cleanout:
Number Discharged
Correctly in efrectly Unknown
L zLI I. 9 Time
Record Number
Obstruction
Unable to push past
feet.
Entered S L at
/rte f'% ��� f
Yellow Copy: City of Fagan
Notes �
L
f
7 . ✓
y l- ' O am
• pm
Phone ( ' 1 ~
' j
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH