2170 Garnet Dr - Inspection Formcity or ]alau
Residential Sanitary Sewer Service
Compliance inspection
1/406 lam
Time ;r •/• /o p
r
Name 3 \./ ,s 3 /11 ��- �r, �� Disk#
f'7 }
Date ( 2 I
Alternative Mailing Address
Compliance
O No foundation drain connection
8 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
I ''1
4" to 6" Transition:
Service Lateral Inspection Find ngs
Roots)
White Copy: Property Owner
/Owner /Occupant Signature
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
rnber of stacks
v
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet.
Length of Service:
Inspector Signature
am
Time 1 ( • . / o pm
PID Number
/
House Number ) i • Street Name
Phone < 1 s ;i�
For,inforrmation call 651A70.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Entered S•L•at . r a
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
/ -i f_.
Final Cleanout: i '
Pink Copy: SEH
• Number
Correctly
•
Discharged
Notes r,
' t i `s � /; � " i V ,',
.--
, i e ' f
"' 'r- -f>f / -j r J F ". / i e ms _
/ '
J ; f E- f� ; ? =y ,
f/ -
'
, - -' -�? `' 1 ''
e�
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
city or ]alau
Residential Sanitary Sewer Service
Compliance inspection
1/406 lam
Time ;r •/• /o p
r
Name 3 \./ ,s 3 /11 ��- �r, �� Disk#
f'7 }
Date ( 2 I
Alternative Mailing Address
Compliance
O No foundation drain connection
8 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
I ''1
4" to 6" Transition:
Service Lateral Inspection Find ngs
Roots)
White Copy: Property Owner
/Owner /Occupant Signature
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
rnber of stacks
v
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet.
Length of Service:
Inspector Signature
am
Time 1 ( • . / o pm
PID Number
/
House Number ) i • Street Name
Phone < 1 s ;i�
For,inforrmation call 651A70.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Entered S•L•at . r a
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
/ -i f_.
Final Cleanout: i '
Pink Copy: SEH