2089 Emerald Lane - Inspection Form{
4111110- City of two
Residential Sanitary Sewer Service
Compliance Inspection
Date. ! `! 1
Name N) c. 171/ Disk #
PID Number
House Number ,l Street Name
Alternative Mailing Address _ Phone ``- :c4 ' f
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Pi oper ty Owner
t •
Time •
OwnerlOccupant Signature
Compliance
No foundation drain connection
O am
pm
MME
For information call 651.470.2788
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
Service Lateral Inspection Findings ,._Nufnber of stacks
Roots ,D
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
1 ,7
Yellow Copy: City of Eagan
Record Number I
Time
Inspector Signature
Obstruction
Unable to push past
feet
• 0 m
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S-
fi
,- Final Cleanout: r
Pink Copy: SEH
Number Discharged
Notes
Total C
Correctly I
Incorrectly U
Unknown
Sump pumps
Foundation drains
Roof drains
4111110- City of two
Residential Sanitary Sewer Service
Compliance Inspection
Date. ! `! 1
Name N) c. 171/ Disk #
PID Number
House Number ,l Street Name
Alternative Mailing Address _ Phone ``- :c4 ' f
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Pi oper ty Owner
t •
Time •
OwnerlOccupant Signature
Compliance
No foundation drain connection
O am
pm
MME
For information call 651.470.2788
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
Service Lateral Inspection Findings ,._Nufnber of stacks
Roots ,D
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
1 ,7
Yellow Copy: City of Eagan
Record Number I
Time
Inspector Signature
Obstruction
Unable to push past
feet
• 0 m
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S-
fi
,- Final Cleanout: r
Pink Copy: SEH