4346 Jasper Dr - Inspection Form'1.
4 .*
Cit Y al E
Residential Sanitary Sewer Service
Compliance Inspection
Date f2f l - f 1 /6
Name „V f /)6 3 l DJ �'
PID Number
House Number
Alternative Mailing Address,. - --�
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
Roots 4.
4" to 6" Transition:
White Copy: Pr oper ty Owner
Time // • .J pp
Disk #
Street Name
Owner /Occupant Signature
f •
1 ,, /� i BP ? C ?
vr:
U
r
/
0
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
F O am
Time • (� r) Opm
e
Phone i''> ;`e
rf
nspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ( 411.s
Yellow Copy: City of Eagan
A ! `" r--.
A
tip / _D
[ ti.
C r ^,
Pink Copy: SEH
Total
Notes
y f ?
/ � ,
- A/DQ per,__
r'
c_, � �
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•
Number
Discharged
Correctly
lnorrectly Unknown
Sump pumps
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Foundation drains
�
Roof drains
/
Y
"— .-°-.�-
..--_-
�.�'
'1.
4 .*
Cit Y al E
Residential Sanitary Sewer Service
Compliance Inspection
Date f2f l - f 1 /6
Name „V f /)6 3 l DJ �'
PID Number
House Number
Alternative Mailing Address,. - --�
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
Roots 4.
4" to 6" Transition:
White Copy: Pr oper ty Owner
Time // • .J pp
Disk #
Street Name
Owner /Occupant Signature
f •
1 ,, /� i BP ? C ?
vr:
U
r
/
0
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
F O am
Time • (� r) Opm
e
Phone i''> ;`e
rf
nspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ( 411.s
Yellow Copy: City of Eagan
A ! `" r--.
A
tip / _D
[ ti.
C r ^,
Pink Copy: SEH