2030 Zircon Lane - Inspection FormCity Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date e‘ / %'2'i „4"
N a e � r /'c O Disk#
rp
PID Number
House Number 76'
Alternative MailingAddress 7
Roots 7) r=� : ' r te '
4" to 6 "Transition:
White Copy: Property Owner
Compliance
11 No foundation drain connection
X No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
• p'arn
Time ."V • 4.9C) f 0 p
Owner /Occupant Signature
d
Record Number
Street Name / E.a7,.,
/e77 rfr'e:,4 =rc"
grJ
Phpne ( i ,_ 7, "" ..- l
ii 1 f I ./
' •gy
Time • o pm
Inspector Signature
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
6,""'s ) 77 . Length of Service: (/ft ; /1
Yellow Copy: City of Eagan
Obstruction
Una fe to push past
C feet
7r
Service Lateral Inspection Findings Number of stacks ( Entered S L at 1, (ye C
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1,
Transition 1 41/ ,,�, „r ! f i 'r 1 ? 7 4/e_,
Final Cleanout:
7 9/.77
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
Notes p-
' _ :_ , ,, ma y ,_
-- � .,.
_
i�� � J
7?,--,7,, '% �,` ^ :...
Total
Correctly
Incorrectly
Sump pumps`".-
W.,.__,__
w.
_______ __—__....._...___
Foundation drains
✓'
�_�_ �.
., r _w
__
Roof drains
_
�_�
. ___ _ r?
City Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date e‘ / %'2'i „4"
N a e � r /'c O Disk#
rp
PID Number
House Number 76'
Alternative MailingAddress 7
Roots 7) r=� : ' r te '
4" to 6 "Transition:
White Copy: Property Owner
Compliance
11 No foundation drain connection
X No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
• p'arn
Time ."V • 4.9C) f 0 p
Owner /Occupant Signature
d
Record Number
Street Name / E.a7,.,
/e77 rfr'e:,4 =rc"
grJ
Phpne ( i ,_ 7, "" ..- l
ii 1 f I ./
' •gy
Time • o pm
Inspector Signature
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
6,""'s ) 77 . Length of Service: (/ft ; /1
Yellow Copy: City of Eagan
Obstruction
Una fe to push past
C feet
7r
Service Lateral Inspection Findings Number of stacks ( Entered S L at 1, (ye C
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1,
Transition 1 41/ ,,�, „r ! f i 'r 1 ? 7 4/e_,
Final Cleanout:
7 9/.77
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH