2140 Carnelian Lane - Inspection Form
Residential AC9
~ t r
Compliance P
Inspection !f ) • r am
Dater I1 1 1 Time Pm Record Number
Name %N Disk# Time ~ ~Pm
PID Number
r
House Number' 1 2 f Street Name/
Alternative Mailing Address Phone l K y %
OwnerlOccupant Signature Inspector Signature
For informaidon 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
sanitary sewer, feet
No roof drain connection - O Access to service
O Service lateral defects Iatera! needed
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,
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings^ Number of stacks Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits _
SaglPipe Deflection _
_ 1
Damaged Pipe r`• , , i f; _
T y 7
Transition
~7
4" to 6"Transition: Length of Service: Final Cleanout: ~f~~•r',
Notes
Number Discharged
Total Correctly Incorrectly Unknown
!1
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH