2085 Carnelian Lane - Inspection Form
-7- 7
Residential Sanitary Sewer Service
City ! ilr Compliance Inspection
Date ~/1 167 Time 4~7.~ p prn Record Number
01am
Namez Disk # ® Time pm
r `
PID Number
House Number Street Name
f.5f
Alternative MailingAddress Phone
Ownerl0ccupant Signature i~ !ns{iector Signature
For information; call 651.470.2788
Compliance Non-Compliance Obstruction No Access
P'No foundation drain connection O Clear water connections to Unable to push past O 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 Sump pump connected to sanitary O Inspection
O Sump pump properly piped sewer refused
lA No sump pump O Flexible sump pump piping
r
Service Lateral Inspection Findings Number of stacks ~ Entered S L at_~ T =r~~_ r t~.
Roots ~
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: A)A Length of Service: Final Cleanout:
f
Number Discharged Notes r
Total Correctly Incorrectly Unknown
1
Sump pumps
Foundation drains
Roof drains
White Copy: Propeity Chvner Yellow Copy: City of Eagan Pink Copy: SPH