4305 Jasper Dr - Inspection Form1i1y or to ap
Residential Sanitary Sewer Service
Compliance Inspection
Date 07i ' 7 i /.4.)
Name 1!> f r'1'
PID Number
House Number
zyos
Alternative Mailing Address
O
Compliance
O No foundation drain connection
k No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Pi opetty Owner
am
Time / • �' 4-pm
Disk#
Street Name
f ✓ / , r
Ownerl6ccupant Signature
t!
Service Lateral Inspection Findings
Roots SO
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection_ ill _V
Damaged Pipe
Transition
4" to 6 "Transition: a gth of Service:
j
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
4 Sump pump connected to sanitary
sewer
U Flexible sump pump piping
Number of stacks _ f
J-1/) ' / •
Phone
Yellow Copy: City of Eagan
Record Number
z f
/ � oem
Time i • pm
//Inspector Signature
For information call 651 470.2788
Obstruction
Unable to push past
feet
Entered S.L at %1':
. � Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes m_. r '�,Z��t�
/ r
/
er �j f:C3{J
Pink Copy: SEH
Total
Number.
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
f .
Roof drains
1i1y or to ap
Residential Sanitary Sewer Service
Compliance Inspection
Date 07i ' 7 i /.4.)
Name 1!> f r'1'
PID Number
House Number
zyos
Alternative Mailing Address
O
Compliance
O No foundation drain connection
k No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Pi opetty Owner
am
Time / • �' 4-pm
Disk#
Street Name
f ✓ / , r
Ownerl6ccupant Signature
t!
Service Lateral Inspection Findings
Roots SO
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection_ ill _V
Damaged Pipe
Transition
4" to 6 "Transition: a gth of Service:
j
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
4 Sump pump connected to sanitary
sewer
U Flexible sump pump piping
Number of stacks _ f
J-1/) ' / •
Phone
Yellow Copy: City of Eagan
Record Number
z f
/ � oem
Time i • pm
//Inspector Signature
For information call 651 470.2788
Obstruction
Unable to push past
feet
Entered S.L at %1':
. � Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes m_. r '�,Z��t�
/ r
/
er �j f:C3{J
Pink Copy: SEH