2074 Quartz Lane - Inspection Form11 111P 1 .
City oI tapil
R Sanitary Sewer Service
Compliance Inspection
1 I
Date / / /
Name—) ---2/4:9(2
Disk #
PID Number
7;
House Number
Alternative Mailing Address
,
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Proper ty Owner
OwnerlOccupont Signature
alm}irwl■
Service Lateral Inspection Findings
Time / • eV" pm
treet Name
Ldd
1
Non-Compliance
O Clear water connections co
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
Phone
("7
/ Time a Prn
2"7
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
Roots 1
.f
1 1 1 ,, , .. .....--- ,,.....-- /
Pooll"ipe 6ints — . ! .-// i ..-{; .).,;,------ ---t ...,..,- ,-- i....- . ,
i ,..„.... .. ,..--„i _..... ., 2,, _:.., i ,!...--.......,,:,, .., ,./...., .....):_,,,,
Minera eposits.!... .,.-.. , --- .- , ,/ ',
l
) .., . ,.:.., ,... j.,..,....,..." . -
Sag/fipe Deflection . -:, 1/ --=----),--- ., i -4
P‘rnaged Pipe -4-- -- ' - ' 3 /' - )/ - //2
/ ..,
...!
Transition 1 j
A
4" to 6" Transition: Length of Service : Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Nots
.- --
Total
Unknown
,..
. ; /
.„,
....'
,
:- T., ,..
---- ..___.
::-..- -f •1 -:-- - -- - ) ._._
1 „ , .....
Sump pumps
( ....-.
Foundation drains
1
Roof drains
.-----',
. .,- .,
/
11 111P 1 .
City oI tapil
R Sanitary Sewer Service
Compliance Inspection
1 I
Date / / /
Name—) ---2/4:9(2
Disk #
PID Number
7;
House Number
Alternative Mailing Address
,
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Proper ty Owner
OwnerlOccupont Signature
alm}irwl■
Service Lateral Inspection Findings
Time / • eV" pm
treet Name
Ldd
1
Non-Compliance
O Clear water connections co
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
Phone
("7
/ Time a Prn
2"7
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
Roots 1
.f
1 1 1 ,, , .. .....--- ,,.....-- /
Pooll"ipe 6ints — . ! .-// i ..-{; .).,;,------ ---t ...,..,- ,-- i....- . ,
i ,..„.... .. ,..--„i _..... ., 2,, _:.., i ,!...--.......,,:,, .., ,./...., .....):_,,,,
Minera eposits.!... .,.-.. , --- .- , ,/ ',
l
) .., . ,.:.., ,... j.,..,....,..." . -
Sag/fipe Deflection . -:, 1/ --=----),--- ., i -4
P‘rnaged Pipe -4-- -- ' - ' 3 /' - )/ - //2
/ ..,
...!
Transition 1 j
A
4" to 6" Transition: Length of Service : Final Cleanout:
Pink Copy: SEH