2101 Carnelian Lane - Inspection Form
Residential Sanitary Sewer Service
City I Ir Compliance Inspection
Date 1 1 ; Time PM Record Number
} i 7 ? O,am
Name J''f /6 -•r°! /c~ ll~Disk# i l ? k Time ? L _ pm
_
PID Number,
V ~7
House Number ! } Street Name
p1Z
Alternative Mailing Address Phone G_-
41-
Owner/Occupant 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
~l .
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-
No sump pump O Flexible sump pump piping
r~ Entered S.L.at
Service Lateral Inspectio Findings Number of stacks
Roots i - p" ~cr ~ ~ 3 1
Poor, Pipe joints
Mineral Deposits _
Sag/Pipe Deflection
Damaged Pipe _
Transition ti' -7-
- W- ~ --rte'
4" to 6"Transition: Length of Service: 1-- - . Final Cleanout:
Nr...
Notes
/1; ri le-;:'
! j -7
Total Correctly Incorrectly Unknown r i
Sump pumps
Foundation drains f
Roof drains '
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH