4355 Onyx Dr - Inspection FormSump pumps
Foundation drains
]
;
tl
Roof drains
City of Ewa
Residential Sanitary Sewer Service
Compliance Inspection
Date (9 1 1
• •
Name ». 7 ,z k_ Disk #
PID Number
House Number. / -72.575 .
Street Name r24/ /7,
Alternative Mailing Address Phone / « 2 ' "
,f 144 tor C- Inspetor Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ! IM.- s C, ( /M/1 / /e`
1
4" to 6" Transition:
,7 , ;
OwnerlOccujant Signature
- 7`; 7
White Copy: Proper ty Owner
Total
Time / a
Non - Compliance;
/ 11) f e
Clear water connections to
Obstruction
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
Number Discharged
Correctly
Length of Service:
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number.
Dam
•
Time _ • O pm
Final Cleanout:
Notes
4'fA:d_
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
T/
(`_'
Pink Copy: SEH
Cit Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date £ t r
Name
House Number
Transition
a
/) o
• _w y ' am
Time .;�, • o pm
Q. Disk #
PID Number
Alternative Mailing Address
4" to b" Transition:
.., I
r"9
f )
White Copy: Property Owner
.Owner/Occupant Signature
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
/
-.) Street Name
/--
P
Length of Service:
Non — Compliance
Q 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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots �: , . ` c " mot_
Yellow Copy: City of Eagan
Record Number
7 - 4
Phone
Time r' " ` .. •
Obstruction
Inspector Signature
Final Cleanout:
4 am
q pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe !'
Pink Copy: SEH
} ij - ens i
Number
Correctly
Discharged
Incorrectly Unknown
Notes
j� a f.'" ,• -
r' ` -_ � f _
1 ii-
."ai:: 7- r1-- -..1-...." _ ,
■
i ,f ,
Total
Sump pumps
(
Foundation drains
s
Roof drains
Cit Cap
Residential Sanitary Sewer Service
Compliance Inspection
Date £ t r
Name
House Number
Transition
a
/) o
• _w y ' am
Time .;�, • o pm
Q. Disk #
PID Number
Alternative Mailing Address
4" to b" Transition:
.., I
r"9
f )
White Copy: Property Owner
.Owner/Occupant Signature
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
/
-.) Street Name
/--
P
Length of Service:
Non — Compliance
Q 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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots �: , . ` c " mot_
Yellow Copy: City of Eagan
Record Number
7 - 4
Phone
Time r' " ` .. •
Obstruction
Inspector Signature
Final Cleanout:
4 am
q pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe !'
Pink Copy: SEH
} ij - ens i