2051 Coral Lane - Inspection FormCif a1 Cv va
Residential Sanitary Sewer Service
Compliance Inspection
EM
Date 1 r 1_ ) 9. Time -
} 1 ¢ ' / 1
Name c} - �' »� Yl Disk #
PID Number
House Number
Owner/Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
Street Name
Length of Service:
Yellow Copy: City of Eagan
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
Record Number
`'r' o am
Time N pm
Alternative Mailing Address Phone ? 44-474- ` t✓�
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots ! ?
y
PoorPipeJoints �`' ,, 11f r . r -�— ' °' r� .,
i
Mineral Deposits ; . + a_. rr C ` , ` : , i .� , / ---) �`-
Sag/Pipe Deflection �r > :! I sY , t
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
Foundation drains
--
Roof drains
11
Cif a1 Cv va
Residential Sanitary Sewer Service
Compliance Inspection
EM
Date 1 r 1_ ) 9. Time -
} 1 ¢ ' / 1
Name c} - �' »� Yl Disk #
PID Number
House Number
Owner/Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
Street Name
Length of Service:
Yellow Copy: City of Eagan
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
Record Number
`'r' o am
Time N pm
Alternative Mailing Address Phone ? 44-474- ` t✓�
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots ! ?
y
PoorPipeJoints �`' ,, 11f r . r -�— ' °' r� .,
i
Mineral Deposits ; . + a_. rr C ` , ` : , i .� , / ---) �`-
Sag/Pipe Deflection �r > :! I sY , t
Damaged Pipe
Transition
Pink Copy: SEH