4248 Jasper Dr - Inspection FormCity of Fan.
Residential Sanitary Sewer Service
Compliance Inspection
Date;' 1
Name /!�2
.
4" to 6" Transition:
White Copy: Property Owner
,F Disk #
Compliance
O No foundation drain connection
No roof drain connection
O Sump' pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time " • q pm
t
/ Owner /Occupant Signature
0
PID Number
2
0
House Number 2/76/k Street Name j f v
Alternative Mailing Address
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
Record Number r 7�
I /
Pam
Time * pm
P�» (/ -5 ../ r‹:,J.rT - 277
! e J
_� / 7 fnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: / 7" Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S at . )71}- . . -
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
E
1 Notes d'/G G��' , y
A eow, pc
1
M,
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps__
_ -
Foundation drains
f
Roof drains
__.___
_._ _. ,
City of Fan.
Residential Sanitary Sewer Service
Compliance Inspection
Date;' 1
Name /!�2
.
4" to 6" Transition:
White Copy: Property Owner
,F Disk #
Compliance
O No foundation drain connection
No roof drain connection
O Sump' pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Time " • q pm
t
/ Owner /Occupant Signature
0
PID Number
2
0
House Number 2/76/k Street Name j f v
Alternative Mailing Address
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
Record Number r 7�
I /
Pam
Time * pm
P�» (/ -5 ../ r‹:,J.rT - 277
! e J
_� / 7 fnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: / 7" Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S at . )71}- . . -
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
E
1 Notes d'/G G��' , y
A eow, pc
1
M,
Yellow Copy: City of Eagan Pink Copy: SEH