2069 Emerald Lane - Inspection FormSump pumps
Foundation drains
Roof drains
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1/
f°
Residential Sanitary Sewer Service
city ot fap Compliance Inspection
Date 64 ("16" ../ci
Name
PID Number
•
House Number
2 / &(/ Disk #
;4-
Alternative Mailing Address
/.•
- j •
Owner/Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Cr Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots e2) , u
r -
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Transition
4" to 6"Transition:
White Copy: Pr operty Owner
• 7-
Time / •
p/am
0 pm
Street Name 44-7%/2
Phone
//
Non-Compliance
0
0
Damaged Pipe
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
&11,1 7q i" of Service:aZ f
Number Discharged
Total Correct Incor Unknown
Record Number
0
Time ▪ • _ pm
6 jrispector Signature
Obstruction
Unable to push past
feet
7 „
Number of stacks Entered S.L.at
Notes
,
Av) Af.Ylf
am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: viviL
Yellow Copy: City of Eagan Pink Copy: SEH