2037 Emerald Lane - Inspection FormEtty of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 c2 1 i22
Name 47<'' . Cf Disk #
PID Number
House Number
Compliance
t
No foundation drain connection
o roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection —CV °S
Damaged Pipe
Transition
4" to 6" Transition: t / Ai /
U
White Copy: Property Owner
./• 0 a
Time /0 • *Gm
Street Name
Alternative MailingAddress
/( Owner /Occupant Signature
For information call 651.470.2788
Non-Compliance
O
O
O
0
0
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots /6 /,.... '• ,
Poor PipeJoints
Mineral Deposits
2.
0
Length of Service: S .r
Yellow Copy: City of Eagan
L7T1
Record Number
1-
/6/ • f o� m
Time /
• Gf pm
Phone //<-1 / 7 7�-''� /
7/y
/
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at -
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
Roof drains
Etty of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 c2 1 i22
Name 47<'' . Cf Disk #
PID Number
House Number
Compliance
t
No foundation drain connection
o roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection —CV °S
Damaged Pipe
Transition
4" to 6" Transition: t / Ai /
U
White Copy: Property Owner
./• 0 a
Time /0 • *Gm
Street Name
Alternative MailingAddress
/( Owner /Occupant Signature
For information call 651.470.2788
Non-Compliance
O
O
O
0
0
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots /6 /,.... '• ,
Poor PipeJoints
Mineral Deposits
2.
0
Length of Service: S .r
Yellow Copy: City of Eagan
L7T1
Record Number
1-
/6/ • f o� m
Time /
• Gf pm
Phone //<-1 / 7 7�-''� /
7/y
/
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at -
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH