4398 Onyx Dr - Inspection FormSump pumps
r ".
Foundation drains
Roof drains
City of I,a ii
Residential Sanitary Sewer Service
Compliance Inspection
Date- I 1 Time
Name ` / .) !
Compliance
O No foundation drain connection
R No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Transition
4" to 6 "Transition:
White Copy: Property Owner
n Findings
Total
Disk #
PID Number
7` House Number Street Name
Alternative Mailing Address
4
iS
Owner'10 cupant Signature
Correctly
-_
( am
c7 pm
Phone r!.7_7) .. 4
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 of stacks r' Entered S L. at
Service Lateral 17e
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Length of Ser vice:
Number Discharged
Incorrectly
4 vX
Unknown
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
//'
_ � ,..... 0 a
me _ ) • O pm
Inspector Signature
r Final Cieanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
E r
•
r
Notes
c if~ d' ) ' ) / l �.
Pink Copy: SEH
7