2025 Emerald Lane - Inspection Form4 My of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date OS / Zl /c Time /7 :
Name /1/4/0") Disk #
PID Number
House Number Z 7 Street Name
Alternative Mailing Address Phone ;.'-/)
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Surnp pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins s ection Findings Number of stacks 9 Entered S.L. at -S7,34 C7,0_
Roots Z
Poor Pipe Joints
Mineral DepositsP. cl
Sag /Pipe Deflection 44
/
Damaged Pipe
Transit `'- ir,
N it
1 ,r)
4 "to6 cJ
c _
1
Sump pur
Foundatio C
t
Roof drain
� s
� lr
White Col Z -
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
:e:
Eagan
Record Number sir
I/ 0 / 1 am
Time / / • • /0 0 pm
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
$ Final Cleanout: `/4 1
e l
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Notes , z,�iv1`�o�.,,.� �= �.,,.,,,_�_
ivy 4C-eri_f_ —� ' �,7 4,i!2
Pink Copy: SEH