2046 Carnelian Lane - Inspection Form11 .0 11 ' city of kan
Residential Sanitary Sewer Service
Compliance Inspection
Date ( ! 1 Time + s G Q pm
Name C . icie 4 j 1/ Disk # � 5
PID Number
House Number :
Alternative Mailing Address
Owns /0'ccupant Signature
q
Street Name
For information .call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' { /4 1 :i4W ' f'
4" to 6 "Transition:
White Copy: Property Owner
ylv
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
Number of stacks
Length of Service:
•
Yellow Copy: City of Eagan
Record Number
PP one
o
•
Time . • 5 � � am
m
yL _.
( /Inspector Signature
Obstruction
Unable to push past
feet
Entered S L. at -57/ i
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
N otes : 3 :. �- �.r: tr
r ,,. 0 ' �G' , ,
,- - , " ,:,:la tr,:,:la ))
Number
Discharged
Correctly
Incorrectly
Unk n wn
Sump pumps
/J
..— -
_r
o
Foundation drains
Roof drains
w� r
..,
-, ---- __
_ --
- - .
11 .0 11 ' city of kan
Residential Sanitary Sewer Service
Compliance Inspection
Date ( ! 1 Time + s G Q pm
Name C . icie 4 j 1/ Disk # � 5
PID Number
House Number :
Alternative Mailing Address
Owns /0'ccupant Signature
q
Street Name
For information .call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' { /4 1 :i4W ' f'
4" to 6 "Transition:
White Copy: Property Owner
ylv
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
Number of stacks
Length of Service:
•
Yellow Copy: City of Eagan
Record Number
PP one
o
•
Time . • 5 � � am
m
yL _.
( /Inspector Signature
Obstruction
Unable to push past
feet
Entered S L. at -57/ i
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH