4260 Amber Dr - Inspection FormSump pumps
Foundation drains
Roof drains
s
-
f
Residential Sanitary Sewer Service
City of hp Compliance Inspection
Date G / 2 / /o Time
Name A f 4 Vi
PID Number
House Number 2 /24 - ) Street Name
Alternative Flailing Address
f.� .... f1
t
J r
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
Y'No sump pump
4" to 6" Tr ansition:/
4:
White Copy: Property Owner
C
• o am
• - -.pm
Disk #
Non - Compliance
,M Clear water connections to
sanitary sewer 7, ._
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
7 A
Length of Service:
oga
Yellow Copy: City of Eagan
L_
Record Number
Pho
Time
✓i7 mss
:/ /
f • O o am
4 "6rrspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
Ser vice Lateral Inspection Findings Number of stacks ( Entered S L. at - '77,f
Roots
Poor Pipe Joints
Mineral Deposits 7/:
Sag /Pipe Deflection
Damaged Pipe ` r
Transition t � ° � ! u � ' ! ! ' /' G' J' w k i 7 4 / ;
--- e40 eat/6f e
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleano, t
Notes
Number. Discharged
Total Correctly lncor'rectly Unknown Z • 6 f /, 0 -
d hl i /,42 777,4' / C3 j • y/
L•� ;mac
/2
/ V"1
Pink Copy: SEH
City of bpi
Residentia.I Sanitary Sewer Service
Compliance Inspection
Date Y! '/ /o
Name PeTe.
f
PID Number
House Number '
Alternative Mailing Address
77\ /1 /1
. .r��
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,Q`No sump pump
Service Lateral inspection Findings
Damaged Pipe
,9 ! �J trJ (-
Transition /
4” to 6" Tr ansition:/ /6
White Copy: Property Owner
Owner/Occupant Signature
47"
f • 0 a
Time • _,F! pm
Disk ##
Street Name
Non - Compliance c -/
M Clear water connect ons to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
• Time ' • pm
Phone (.fir`:''
,S Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S L.at --• f / 1C"..
Roots
Poor Pipe Joints
Mineral Deposits 2/: ,
Sag /Pipe Deflection
Final Cleano€ir
Yellow Copy: City of Eagan
am
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Notes - - /./off / L fL... „--7 - , ".,
2 ,......s f
,, '" ,/ / F' ` - /f
1
r ) -- (11,Ai'd V - /S / 4/
c'` -it
/Wec,tiP t`'/ /„ , 4 YC _
r
Total
incorrectly
Unknown
Sump pumps
(`
Foundation drains
Roof drains
�� ✓
City of bpi
Residentia.I Sanitary Sewer Service
Compliance Inspection
Date Y! '/ /o
Name PeTe.
f
PID Number
House Number '
Alternative Mailing Address
77\ /1 /1
. .r��
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,Q`No sump pump
Service Lateral inspection Findings
Damaged Pipe
,9 ! �J trJ (-
Transition /
4” to 6" Tr ansition:/ /6
White Copy: Property Owner
Owner/Occupant Signature
47"
f • 0 a
Time • _,F! pm
Disk ##
Street Name
Non - Compliance c -/
M Clear water connect ons to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Record Number
• Time ' • pm
Phone (.fir`:''
,S Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S L.at --• f / 1C"..
Roots
Poor Pipe Joints
Mineral Deposits 2/: ,
Sag /Pipe Deflection
Final Cleano€ir
Yellow Copy: City of Eagan
am
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH