1445 Dolores Lane - Inspection FormCompliance
0 No foundation drain connection
0 No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
0 No sump pump
For information call 651.470.2788
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Non-Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
'''..,...7-,21/.6.
GV 4" 101
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Pipe Deflection 2 2/:9 / Y---.
d e c -:
Damaged Pipe
Transition
1 ,
4" to 6" Transition: Length of Service: : , ., ._ - , Final Cleanout:
Number Discharged
Unknown
Notes ,, .,
)
.
.. ....,
Total
Co r rectly
Incorrectly
Sump pumps
.
Foundation drains
'
Roof drains
4 1111k
City ol faTaii
Residential Sanitary Sewer Service
Compliance Inspection
Date g li
/ ' 1 R
A
Name ; e ' - ' -- -, t (.. i '1 -'3) I Disk #
, . ..---
PD Number
House Number
Alter native Mailing Address
4;
•
Time _4' Pm
,
Street Name
OwnerlOccupant Signature
sr
Record Number
Time
•
•
0
7 „,:; /2/9,
Phone t
Inspector Signature
White Copy: Property Owner
Yellow Copy: City of Eagan
IVIMk,i7-f9
SEW 2_,
01