2103 Garnet Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date / 2£ 4
Name, � 1 "" Disk ##
PID Number
House Number
Alternative Mailing Address
For information: call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
d 0 . Sump pit no€ connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Roots i u
Poor Pipe Joints
Mineral Deposits
\20 )nor
i Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: YON'
White Copy: Property Owner
� 7•
Time {./ L ff am
• v o p
Street Name
/6? ?/ Length of Service:
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks I Entered S. L at
Yellow Copy: City of Eagan
Record Number
o am
Time `{ a , o pm
/
Note
4
Ph
�T
Obstruction
Unable to push past
feet
(€525, - 9
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/)(., f AR 7 7
Pink Copy: SEH
Total
Number.
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
i
€
t
Foundation drains
-7,7
°�tf
Roof drains
,_ .,
Residential Sanitary Sewer Service
Compliance Inspection
Date / 2£ 4
Name, � 1 "" Disk ##
PID Number
House Number
Alternative Mailing Address
For information: call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
d 0 . Sump pit no€ connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Roots i u
Poor Pipe Joints
Mineral Deposits
\20 )nor
i Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: YON'
White Copy: Property Owner
� 7•
Time {./ L ff am
• v o p
Street Name
/6? ?/ Length of Service:
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks I Entered S. L at
Yellow Copy: City of Eagan
Record Number
o am
Time `{ a , o pm
/
Note
4
Ph
�T
Obstruction
Unable to push past
feet
(€525, - 9
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/)(., f AR 7 7
Pink Copy: SEH