2079 Opal Dr - Inspection FormResidert ial Sanitary Sewer -Service
COrrIpliance Inspection .
Date / fi7 / i t')
Name
Number
House Number
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
13e ) /1. A_
2 0 7 ek
Owner /Occupant Signature
Compliance
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 Inspection Findings
3 c'
4" to 6" Transition:
White Copy: Property Owner
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
o am
o pm
Street Name
Obstruction
Length of Service: 71
Yellow Copy: City of Eagan
Record Number c9,i 5
c; ,j
Unable to push past
feet
Time
Alternate Mailing Address Phone 1 - 0 Cp° (3 7S
Inspector Signature
o am
O pm
For Information calf 651.470.2788
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Number of stacks Entered S L at ` s v`9-
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
5C - 0 -
, 3 \
- 5 G
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Roof Drains
(-4/
Residert ial Sanitary Sewer -Service
COrrIpliance Inspection .
Date / fi7 / i t')
Name
Number
House Number
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
13e ) /1. A_
2 0 7 ek
Owner /Occupant Signature
Compliance
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 Inspection Findings
3 c'
4" to 6" Transition:
White Copy: Property Owner
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
o am
o pm
Street Name
Obstruction
Length of Service: 71
Yellow Copy: City of Eagan
Record Number c9,i 5
c; ,j
Unable to push past
feet
Time
Alternate Mailing Address Phone 1 - 0 Cp° (3 7S
Inspector Signature
o am
O pm
For Information calf 651.470.2788
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Number of stacks Entered S L at ` s v`9-
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551