2000 Zircon Lane - Inspection Form
Sanitary Sewer Service
City Eao
I p Compliance In . - •
1 n r' 1 am
Date Time pm Record Number
• a
am
Name ii if ! 1; i / Disk D Time O Pm
PID Number_ -
%i i°.
House Number Street Name
Alternative Mailing Address Phone
QW' JerlOccupant Signature inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water, connections to Unable to push past O No one in
sanitary sewer feet
No roof drain connection O Access to service
O Service lateral defects lateral needed
O Sump pit not connected to p Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
refused
O Sump pump properly piped sewer
f4 No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number, of stacks Entered S. L. at `1 `
ROOM
PoorPipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe _
Transition
4" to 6"Transition. f' - - = Length of Service: r=; - Final Cleanout: f
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH