4263 Amber Ct - Inspection Formill b . 'City of Fa an
Residential Sanitary Sewer Service
Compliance Inspection
Date /s d « '
Name a''i
3 �s
PID Number
House Number w -^ Street Name
Alternative Mailing Address
f A."
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,� No sump pump
?1� Disk#
Service Lateral 1ns Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
J
Transition {
4" to 6" Transition:
White Copy: Property Owner
am
Time °' r, i , �P
• O pm
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
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
y
inspector Signature
Obstruction
Unable to push past
feet.
Record Number
(ram
l
Time: • o pm
Phone
For information call 651.470.2788
Entered S L, at � i
No Access
O No one in
O Inspection
refused
Final Cleanout: r
O Access to service
lateral needed
Pink Copy: SEH
Tot t
Notes
" A
1 1:
�
,� ^ �
1 ,`
;
. ':a `
, ' ' -- C..,p r ,
,�
1
l
,.. -:a,1 , "#%
�E
".:..
.� D ,
'
ate
u.,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
ill b . 'City of Fa an
Residential Sanitary Sewer Service
Compliance Inspection
Date /s d « '
Name a''i
3 �s
PID Number
House Number w -^ Street Name
Alternative Mailing Address
f A."
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,� No sump pump
?1� Disk#
Service Lateral 1ns Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
J
Transition {
4" to 6" Transition:
White Copy: Property Owner
am
Time °' r, i , �P
• O pm
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
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
y
inspector Signature
Obstruction
Unable to push past
feet.
Record Number
(ram
l
Time: • o pm
Phone
For information call 651.470.2788
Entered S L, at � i
No Access
O No one in
O Inspection
refused
Final Cleanout: r
O Access to service
lateral needed
Pink Copy: SEH
Compliance
O No foundation drain connection
,'',= `
O No roof drai€r -- connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
O No sump pump
For information tall 651.470.2788
Non - Compliance '
0 Clear water connections to
sanitary sewer
O .. Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
- Unable to push past
feet.
No Access
. No one in
0 Access to service
lateral needed
0 Inspection
refused
�.
Service Lateral Inspection Findings Number of stacks Entered S.L,.at
Roots .
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Number
Correctly
Discharged
Incorrectly Unknown
Notes
`-" ,4 . , ' ,
Total
Sump pumps
Foundation drains
Roof drains
---
City of ,aan
Residential Sanitary Sewer Service
Compliance Inspection
Date" / elI /
Name Jr.'"
PID Number
Alternative Mailing Address
. .•'W �7 /(..0 _..-
White Copy: Property Owner
Time t7.7 . �
Owner /Occupant Signoture
C4am
O pm
-m
House Number Y Street Name
Yellow Copy: City of Eagan
Record Number
Time
Phone , '. z'1, - .: "
i
.
Inspector Signature
O am
•
• O pm
Pink Copy: SEH