2043 Coral Lane - Inspection Forms41*
City of Ca
Residential Sanitary Sewer Service
Compliance Inspection
Date _ `1
Name
I -louse Number
(
0 No sump pump
Mineral Deposits
4" to 6" Transition:
,
Alternative Mailing Address
Sump pump properly piped
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
' 3r
Sump pit not connected to
sanitary sewer
Service LateraLlnspection Find
Roots „ f
Poor Pipe joints
Damaged Pipe
Transition
White Copy: Property Owner
t
Time am
pm
Disk #
PID Number
/yJ
- �� Street Name
1
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
}
}
Record Number i
•
n
7 Time
Phone
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: Cleanout:
am
0 p
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S, -L at
Sag /Pipe Deflection
Pink Copy: SEH
Notes
Num
Correctly
ber Discharged
Incorrectly
Unknown
Total
Sump pumps
l
Foundation drains
Roof drains
/-3'
41*
City of Ca
Residential Sanitary Sewer Service
Compliance Inspection
Date _ `1
Name
I -louse Number
(
0 No sump pump
Mineral Deposits
4" to 6" Transition:
,
Alternative Mailing Address
Sump pump properly piped
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
' 3r
Sump pit not connected to
sanitary sewer
Service LateraLlnspection Find
Roots „ f
Poor Pipe joints
Damaged Pipe
Transition
White Copy: Property Owner
t
Time am
pm
Disk #
PID Number
/yJ
- �� Street Name
1
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
}
}
Record Number i
•
n
7 Time
Phone
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Length of Service: Cleanout:
am
0 p
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S, -L at
Sag /Pipe Deflection
Pink Copy: SEH