2045 Carnelian Lane - Inspection FormCity of Ca art
Residential Sanitary Sewer Service
Compliance Inspection
Date / / 1 Time
Name ),/1/1°° Disk#
PID Number
House Number // 1 a Street Name
5
Alternative Mailing Address `��'t
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 Inpection Findings
I
Roots ,1
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Signature
• O am
• pm
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
D
Time •�
Obstruction
Unable to push past
feet
., —
g am
prn
Phone 5
Inspector Signat
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 4 Entered S at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .2_4--
Pink Copy: SEH
Total
Notes
A0()_6-"_5/ ��
1..--4/4
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
C.,
Foundation drains
Roof drains
C.)
''''' ' 0 11
City of Ca art
Residential Sanitary Sewer Service
Compliance Inspection
Date / / 1 Time
Name ),/1/1°° Disk#
PID Number
House Number // 1 a Street Name
5
Alternative Mailing Address `��'t
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 Inpection Findings
I
Roots ,1
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Signature
• O am
• pm
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
D
Time •�
Obstruction
Unable to push past
feet
., —
g am
prn
Phone 5
Inspector Signat
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 4 Entered S at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .2_4--
Pink Copy: SEH