2086 Carnelian Lane - Inspection Form 1`Ci or n.
City �
Residential Sanitary Sewer Service
Compliance Inspection
Date 011 / / /
Name £ / / / / 7 1 o/(
ND Number
House Number a 22 EK Street Name
Alternative Mailing Address
Time
Disk #
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
/ No roof drain connection
O Sump pit not connected to
sanitary sewer
)f Surrmp pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks / Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits ,ci; ---
Sag /Pipe Deflection
Damaged Pipe �
Transition /6A- A - 4 , 1 7 C h
4" to 6" Transition:
White Copy: Property Owner
Al
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
s
Length of Service:
6AkA/ze /4l�t/
Phone !"fi.5 4 7-C - 1 4 " . x `79/
9 1
Yellow Copy: City of Eagan
Record Number /-
Time e2 E : t
jInspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
�/� Final
Cleanout:
Pink Copy: SEH
Total
Notes_,_,
/--
'Vc'
.. e/ - e/
f +�f ?. JJ
✓� V 3r P
14/ .,- �?r/ / ..
> i' e l •1
r
Number
Discharged
Correctly
' Incorrectly Unknown
Sump pumps
I
Foundation drains
Roof drains
`Ci or n.
City �
Residential Sanitary Sewer Service
Compliance Inspection
Date 011 / / /
Name £ / / / / 7 1 o/(
ND Number
House Number a 22 EK Street Name
Alternative Mailing Address
Time
Disk #
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
/ No roof drain connection
O Sump pit not connected to
sanitary sewer
)f Surrmp pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks / Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits ,ci; ---
Sag /Pipe Deflection
Damaged Pipe �
Transition /6A- A - 4 , 1 7 C h
4" to 6" Transition:
White Copy: Property Owner
Al
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
s
Length of Service:
6AkA/ze /4l�t/
Phone !"fi.5 4 7-C - 1 4 " . x `79/
9 1
Yellow Copy: City of Eagan
Record Number /-
Time e2 E : t
jInspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
�/� Final
Cleanout:
Pink Copy: SEH