4346 Onyx Pt - Inspection FormCity of liajai
Residential Sanitary Sewer Service
Compliance Inspection
Date 7lzCJ 1 f
Name 34 j 4zEfj%
MD Number
House Number
Alternative Address
r
For information call 651.4701788
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
Service Lateral In pectio Findiings
Roots `K 5 .> t �` i r '
4" to 6"Transition:
White Copy: Property Owner
Time /•0 • Y O prn
AAA
Disk #
Owner10cctpant Signature
f £f Street Name _ �!
[1]
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
Damaged Pipe 3 tom L C 0-1(i - Al
Record Number
Number of stacks Entered S L.at
Length of Service:
•
Time <
•
Inspector Signature
Phone
/a s
y
Obstruction No Access
Unable to push past
feet.
O No one in
'6 f
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
€_.
( € E..-
Transition 1-11/V � � {3/`) 1 '" i '�'
( ti Cleanout: ilk 4v:zt/
Notes e..1.. (0' V &VV
i'f, / Gr ( -
/ 4.1 7 w,„-- 0.2 ) cee e,,
Yellow Copy: City of Eagan Pink Copy: SEH
Number Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
t er `„---.-
-- --
.._
Foundation drains
Roof drains
°
r
_
"°
City of liajai
Residential Sanitary Sewer Service
Compliance Inspection
Date 7lzCJ 1 f
Name 34 j 4zEfj%
MD Number
House Number
Alternative Address
r
For information call 651.4701788
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
Service Lateral In pectio Findiings
Roots `K 5 .> t �` i r '
4" to 6"Transition:
White Copy: Property Owner
Time /•0 • Y O prn
AAA
Disk #
Owner10cctpant Signature
f £f Street Name _ �!
[1]
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
Damaged Pipe 3 tom L C 0-1(i - Al
Record Number
Number of stacks Entered S L.at
Length of Service:
•
Time <
•
Inspector Signature
Phone
/a s
y
Obstruction No Access
Unable to push past
feet.
O No one in
'6 f
O Access to service
lateral needed
O Inspection
refused
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
€_.
( € E..-
Transition 1-11/V � � {3/`) 1 '" i '�'
( ti Cleanout: ilk 4v:zt/
Notes e..1.. (0' V &VV
i'f, / Gr ( -
/ 4.1 7 w,„-- 0.2 ) cee e,,
Yellow Copy: City of Eagan Pink Copy: SEH