4332 Onyx Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance inspection
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Date 1 /( f __
Name , �0: �•
Roots
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Poor Pipe joints
4" to 6" Transition:
Alternative Mailing Addres
Compliance
''t No foundation drain connection
11 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
( No sump pump
Service Lateral Inspection Findings
'White Copy: Property Owner
} e o am
Time
Disk #
rfOccupant Signature
Pm
ND Number j/ ).1)/____
-
I -louse Number Street Name i - ! .'i
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Phone _ r ._.. l )r
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
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
77' 17
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
me
am
Pm
inspector Signature
Obstruction No Access
Unable push past 0 No one in
feet 0 Access to service
lateral needed
m Inspection
refused
Entered S L at
Final Cleanout: �•--�
Notes
1
Pink Copy: SEH
Sump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / 1! )
Namee=` ,
r' ✓ 4w
z �
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 Later all spection Findings
Roots , ` )
4" to 6 "Transition: if
White Copy: Property Owner
Time •
Disk #
PFD Number
House Number... .` ? Street Name r
1
Owner /Occupant Signature
EM
Pm
Number of stacks
Total Correctly Incorrectly Unknown
/ -7 ,, , : ';,2
Alternative Mailing Address Phone /„--,
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
Poor Pipe Joints
Mineral Deposits ~,
r
SaglPipe Deflection
Damaged Pipe
Transition i ) d 1 2 ,-
f
Number Discharged
Yellow Copy: City of Eagan
Notes
Record Number
• —1 6,1
F
Obstruction
Unable to push past
eet
Entered S.L.at
Length of Service: c., , /,;. /j
`inspector Signature
am
`✓ !
• _ rO Pm
No Access
O No one in
O Access to service
lateral needed
Inspection
refused
' Final Cleanout:
O
r
f.8yvc'' r J =•'
Pink Copy: SEH
L-
441111"
Cit ai� ta a
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date C9/ C) '21 / '
Name .or
Alternative Mailing Address
Owner /Occupant 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
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
i "� • ' am
Time i >° ' o pm
Disk #
-L
PID Number
a tt Y ,w
House Number Street Name O �
[T]
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 Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
{
phone
insp. c(or Signature
For information call 651.4701788
Obstruction
ti Unable to push past
feet
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
iii. a / f
+ � i� ( /4,7.
l ti
Final Cleanout:
p am
•
• O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
nknown
Notes
w P
;,
j / ', , ' '
T i '
� sf �
i . �./ 1 ` , y' C-
Total
Sump pumps
Foundation drains
Roof drains
MEI
f ''''17 i - ]j
441111"
Cit ai� ta a
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date C9/ C) '21 / '
Name .or
Alternative Mailing Address
Owner /Occupant 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
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
i "� • ' am
Time i >° ' o pm
Disk #
-L
PID Number
a tt Y ,w
House Number Street Name O �
[T]
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 Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
{
phone
insp. c(or Signature
For information call 651.4701788
Obstruction
ti Unable to push past
feet
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
iii. a / f
+ � i� ( /4,7.
l ti
Final Cleanout:
p am
•
• O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Transition
Pink Copy: SEH