4281 Jasper Dr - Inspection FormSump pumps
i
Foundation drains
71
.._.1
Roof drains
O
"I. • •
Ca! o!
Residential Sanitary Sewer Service
Compliance Inspection
Date-/, / )(
Name Al
PlD Number
9 A
House Number Street Name —)(
<
)
Alternative Mailing Address Phone 1:-7
Poor Pipe Joints
4" to 6" Transition:
For information call 651.470.2788
Co pliance
3
No foundation drain connection
No roof drain connection
'''''.
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspectiop Findings ber of stacks
Roots
OwnerlOccupant Signature
Mineral Deposits
7 Sag/ ipe Deflection
Damaged Pipe
Transition
)7) • i_10 am
Time •
pm
Disk #
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
1
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
Inspe Signature
Obstruction
Unabt-t_s push past
5 Aeet
Notes
e"
. .051 - 7 / 1 - 7/ ) 1 L— T 7 C4 - rat
White Copy: Property Owner Yellow Copy: City of Eagan4
Nb Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
,
Length of Service: .E.."7))(7)491A.,11 Final Cleanout:
6
C V)
Pink Copy: S H
A _ )1-
4 o1 a an �
Residential Sanitary Sewer Service
Compliance Inspection
[late Cd..-
A ,a
Name
White Copy: Pr opetty Owner
Disk
+
4 -7 <. /:.s. .•-�>�..�.aYr`�'
f OwnerlOccupant Signature
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
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i} F:
Transition 3
4" to 6 "Transition: 7 . "
am
pm
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
Yellow Copy: City of Eagan
Record Number ap
2 �3
gg am
T f�
• 'O pm
PID Number
House Number �° Street Name
!
Alternative Mailing Address Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks E ntered S L at
Roots ' " -
/1
97
Inspector Signature
Length of Service: .. Final Cleanout: >'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
1l
r
Pink Copy: SEH
Number
Correctly
Discharges!
Incorrectly Unknown
Notes
, - .•,. ryJ ' 3 ,...7,, .y� �,
1 f i i ti 's / `. ". ? '
,... � -' ; -rt �
Total
Sump pumps
---
Foundation drains
1111111111111
l / d
Roof drains
111111111M
4 o1 a an �
Residential Sanitary Sewer Service
Compliance Inspection
[late Cd..-
A ,a
Name
White Copy: Pr opetty Owner
Disk
+
4 -7 <. /:.s. .•-�>�..�.aYr`�'
f OwnerlOccupant Signature
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
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i} F:
Transition 3
4" to 6 "Transition: 7 . "
am
pm
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
Yellow Copy: City of Eagan
Record Number ap
2 �3
gg am
T f�
• 'O pm
PID Number
House Number �° Street Name
!
Alternative Mailing Address Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks E ntered S L at
Roots ' " -
/1
97
Inspector Signature
Length of Service: .. Final Cleanout: >'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
1l
r
Pink Copy: SEH