4361 Onyx Pt - Inspection Form4 1 _ 11. City of Eapall
Residential Sanitary Sewer Service
Compliance Inspection
Date --'9 , )C/
Name r,- </
" • —
PID Number
)
House Number Street Name
Alternative Mailing Address
For information call 651.470/788
Compliance
0 No foundation drain connection
No roof drain connection
/0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Time
Disk #
OwnerlOccupant Signature
Service Lateral inspection Findings
Roots ----
,
Transition ,--
4" to 6" Transition: /
White Copy: Property Owner
/ .7
) 4 •
0 am
pm
Number of statics
Non-Compliance
Clear water connections to
sanitary sewer --
O Service lateral defe
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
/Sag/Pipe Deflection ) )
/ 77
Damaged Pipe
Length of Service:
//
Yellow Copy: City of Eagan
Record Number
ri Time
ta*
1
•
•
Phone ,7'
Inspector "Signature
Obstruction
Unable to push past
feet
Entered S L at
0 am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
inal Cleanout:
7 • l " F
Pink Copy: SEH
Total
Notes ,,------
1
4 . .-' 77 ) )
c 7 . 1/:
7", ,:',''''''../ _____„...) •=r7L,H t --'' (2.. ..._ ..t .1_,. )......-,----'
11 -' )....
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
-,1
. 1
(
)
Roof drains
C....."
4 1 _ 11. City of Eapall
Residential Sanitary Sewer Service
Compliance Inspection
Date --'9 , )C/
Name r,- </
" • —
PID Number
)
House Number Street Name
Alternative Mailing Address
For information call 651.470/788
Compliance
0 No foundation drain connection
No roof drain connection
/0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Time
Disk #
OwnerlOccupant Signature
Service Lateral inspection Findings
Roots ----
,
Transition ,--
4" to 6" Transition: /
White Copy: Property Owner
/ .7
) 4 •
0 am
pm
Number of statics
Non-Compliance
Clear water connections to
sanitary sewer --
O Service lateral defe
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
/Sag/Pipe Deflection ) )
/ 77
Damaged Pipe
Length of Service:
//
Yellow Copy: City of Eagan
Record Number
ri Time
ta*
1
•
•
Phone ,7'
Inspector "Signature
Obstruction
Unable to push past
feet
Entered S L at
0 am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
inal Cleanout:
7 • l " F
Pink Copy: SEH