2109 Carnelian Lane - Inspection Form4411111
4. City of Ellin
Residential Sanitary Sewer Service
Compliance Inspection
Date l /
Name ) Disk #
P1D Number
House Number
Alternative Mailing Address
Transition
4" to 6" Transition:
e
White Copy: Property Owner
Time
Street Name
Owner /Occupant Signature
Phone — y I ' - Y�
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
AC No sump pump
Non
Service Lateral Inspection Findings
Roots J ,
O
O
O
O
O
•o am
— Compliance
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
pm
Length of Service:
Record Number.
Obstruction
Unable to push past
feet
Number of stacks -/ Entered S at
fi 7
Notes
ime •
Inspector Signature
i
�J� Final Cleanout:
o am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
s �r
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
4411111
4. City of Ellin
Residential Sanitary Sewer Service
Compliance Inspection
Date l /
Name ) Disk #
P1D Number
House Number
Alternative Mailing Address
Transition
4" to 6" Transition:
e
White Copy: Property Owner
Time
Street Name
Owner /Occupant Signature
Phone — y I ' - Y�
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
AC No sump pump
Non
Service Lateral Inspection Findings
Roots J ,
O
O
O
O
O
•o am
— Compliance
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
pm
Length of Service:
Record Number.
Obstruction
Unable to push past
feet
Number of stacks -/ Entered S at
fi 7
Notes
ime •
Inspector Signature
i
�J� Final Cleanout:
o am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
s �r
Yellow Copy: City of Eagan Pink Copy: SEH