4327 Copper Pt - Inspection Form
4
Residential Sanitary Sewer Service
City g Compliancel / •
a _
Pm am Record Number _
Date 1 1 Time l
am
Name/ Disk# TimeO PM
u
PID Number
House Number, 'Street Name
Alternative Mailing Address Phone r'= :.l I '°.:1
OwnerlOccupant 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
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 at r.
Roots pfl-~.
Poor Pipe joints -
Mineral Deposits -
SaglPipe Deflection _
Damaged Pipe - # ?
Transition 4
n t
4" to 6" Transition: Length of Service: v- Final Cleanout:%~) ;
Notes
Number Discharged
Total Correctly Incorrectly Unknown !
i
Sump pumps
Foundation drains
i
Roof drains
White Copy- Property Owner Yellow Copy: City of Eagan Pink Copy: SEH