2082 Emerald Lane - Inspection Form
Residential Sanitary Sewer Service
Zlw City of +p Compliance Inspection
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Date Timer pm Record Number,
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Name Disk# 01 Time p pm
PID Number _
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!-louse Number~~ Street Name
Alternative Mailing Address Phone ' wrm• C__, ! :'w A = Y
OwnerlOccupont Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
O No roof drain connection sanitary sewer : feet O Access to service
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped sewer refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks- Entered S L. at Roots
r -Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection 21
Damaged Pipe
Transition
7
4" to b"Transition: Length of Service' Final Cleanout:
Number Discharged. Notes
Total Correctly Incorrectly Unknown
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Sump pumps
i
Foundation drains Roof drains
1
White Copy: Property Owner Yellow Copy: City of Eagan ''"~PinIx Copy SEH