2070 Copper Lane - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date & l Z / /0
Name . ../i. 7
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
•
Time i • OG> e prri m
Disk #
Street Name
Owner /Occupant Signature
t
7
Record Number
Ohm
Time • o pm
P hone ei)
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
9
For information .call 651.970
Obstruction
Unable to push past
feet
Number of stacks # Enter ed S L at \
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection ' „7, a' 'r/r° .
Damaged Pipe \A41( ( jr
Transition Li.
4" to 6" Transition:
White Copy: Pr operty Owner
Length of Service:
Yellow Copy: City of Eagan
f
Final Cleanout: 4 ,,
Notes 6:21.-tve
w-6 rc03 J ` / . 1 rn�.
1
Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
-
Foundation drains
Roof drains
J
-~°,
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date & l Z / /0
Name . ../i. 7
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
•
Time i • OG> e prri m
Disk #
Street Name
Owner /Occupant Signature
t
7
Record Number
Ohm
Time • o pm
P hone ei)
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
9
For information .call 651.970
Obstruction
Unable to push past
feet
Number of stacks # Enter ed S L at \
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection ' „7, a' 'r/r° .
Damaged Pipe \A41( ( jr
Transition Li.
4" to 6" Transition:
White Copy: Pr operty Owner
Length of Service:
Yellow Copy: City of Eagan
f
Final Cleanout: 4 ,,
Notes 6:21.-tve
w-6 rc03 J ` / . 1 rn�.
1
Pink Copy: SEH