2031 Opal Pl - Inspection FormCity o boo
Residential. Sanitary Sewer Service
Compliance Inspection
/
Date
Name : _ f " Ti -Disk #
7
PIE) Number
House Number 1 _s t Street Name
opliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
lr • am
Time p
OwnerlOccupant Signature
Alternative Mailing A +d'ress //9 , .X Cri'1 7 �� ,Phone % ` 5) ) r.i ,,,,4—' (
iG F/
For. information call 651.470.2788
Non- Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping f
T r
Service Late ai ins ection in ngs 1 „'flu 1 of stacks � Entered S L. at ) !� -� - 1 <_ — �
Roots ' > `I ' , 1 "
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition \
Length of Service:
Yellow Copy: City of Eagan
Record Number
I O
Obstruction
am
Time a pm
inspeci ro Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
s L '
Pink Copy: SEH
Number Discharged
Notes
) f _ _
Total
Correctly
Incorrectly
Unknown
J J ,_ ' l ��� _
/l
7'
Sump pumps
- i
Foundation drains
Roof drains
City o boo
Residential. Sanitary Sewer Service
Compliance Inspection
/
Date
Name : _ f " Ti -Disk #
7
PIE) Number
House Number 1 _s t Street Name
opliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
lr • am
Time p
OwnerlOccupant Signature
Alternative Mailing A +d'ress //9 , .X Cri'1 7 �� ,Phone % ` 5) ) r.i ,,,,4—' (
iG F/
For. information call 651.470.2788
Non- Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping f
T r
Service Late ai ins ection in ngs 1 „'flu 1 of stacks � Entered S L. at ) !� -� - 1 <_ — �
Roots ' > `I ' , 1 "
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition \
Length of Service:
Yellow Copy: City of Eagan
Record Number
I O
Obstruction
am
Time a pm
inspeci ro Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
s L '
Pink Copy: SEH
Sump pumps
Foundation drains
Roof drains
n
,.
City of liago
Residential Sanitary Sewer Service
Compliance Inspection
Date_ •! 7 1 � I
Name
Vi i' .
PID Number
House Number
f
Street Name
piiance
ijo No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
Time s L o� am
• pm
Disk #
Total Correctly
Alternative Mailing Address j "
�, Phone �'r
t i I
� I �' I r .4 ;;. - i ; fi r ,
OwnerlOccupant 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
Service Later; Findings - NuM of tacks
Roots '' y
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Number Discharged
Incor rectly Unknown
Yellow Copy: City of Eagan
Record Number
Notes
l �J ,py am
Time_ • • Pm
Inspector Signature
Obstruction
Unabtt l push past
� �t feet.
EnteredSL.at
No Access
O No one in
r - 7 7 ci? r
O Access to service
lateral needed
O Inspection
refused
a
Damaged Pipe
Transition I c � r �_.
4"Ito b "
Transit ?ry Length of Service: 7 9 (1.7%l ) Final Cleanout: �
Pink Copy: SEH