2016 Emerald Lane - Inspection Form
Residential Sanitary Sewer Service
, 47, ~ty I Eapq Compliance Inspection
Date1 . I`~ Time o Pm Record Number'
Name fFlr~f Disk Time J 0pm
PID Number
House Number zb//...- Street Name
AlternativailingQddess l _ Phone
L ! Ow er10 eupant Signature i'lrrspector Signature
. information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water, connections to Unable to push past 0 No one in
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 refused
O Sump pump properly piped sewer
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks ; Entered S.L. atr~.y
Roots
Poor- Pipe joints
Mineral Depositse / 7Y
Sag/Pipe Deflection'
Damaged Pipe
Transition
4" to b" Transition: e j Length of Service: Final I an ut-, y
Notes
Number Discharged
77
Total Correctly Incorrectly Unknown
Sump pumpsW A
0
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: Gity of Eagan Pink Copy: SEH