4358 Onyx Pt - Inspection Formcity of Eta ?Q
Residential Sanitary Sewer Service
Compliance Inspection
Dated.. - /l /f
Name__
Time
Disk#
PID Number •
`'2 . �✓ Street Name
House Number
Alternative MAIN Address
r
Roots
f
Ow r erlOctupant Signature
Cor ante
/O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Latgral inspection F'ndings
2
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
i
.
am
Pm
pm
Damaged Pipe
Transition 1-- 1- r'J�f ! '?
- f:
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`.
uriier of stacks .
Yellow Copy: City of Eagan
Record Number t'
Time
a,„
/-. 1
• ---- pm
Phone % � - `� ✓ _�
Inspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
s /4
Entered S.L.at 1 .
Length of Service: fJ Final Cleanout:
O Access to service
lateral needed
O inspection
r efused
Pink Copy: SEIH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
!/ Kd 4 ./ / . I' 7,
2° ' --7> %`)
f' ? .(' ' �� a
Total
Sump pumps
Foundation drains
Roof drains
='
- C3)/' :: '/ \ .-: --- 15nVt?
city of Eta ?Q
Residential Sanitary Sewer Service
Compliance Inspection
Dated.. - /l /f
Name__
Time
Disk#
PID Number •
`'2 . �✓ Street Name
House Number
Alternative MAIN Address
r
Roots
f
Ow r erlOctupant Signature
Cor ante
/O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Latgral inspection F'ndings
2
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
i
.
am
Pm
pm
Damaged Pipe
Transition 1-- 1- r'J�f ! '?
- f:
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`.
uriier of stacks .
Yellow Copy: City of Eagan
Record Number t'
Time
a,„
/-. 1
• ---- pm
Phone % � - `� ✓ _�
Inspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
s /4
Entered S.L.at 1 .
Length of Service: fJ Final Cleanout:
O Access to service
lateral needed
O inspection
r efused
Pink Copy: SEIH