1932 Carnelian Lane - Inspection Form41114. City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date ()1 e7f 1 70
Name
PID Number
House Number Street Name
n
Alter'native�lvlailing Address
Time
OwnerlOccupant Signature
f lZ': O am
•-- pm
Disk #
5
Compliance
O No foundation drain connection
} No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
tO: No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
1 /6 /v /Z7 .4 7
Non- Compliance
Clear water connections to
sanitary sewer g t'i' e+:!.
O Service lateral efects
O Defective manholes
O Sump pump connected to sanitary
sewer.
O Flexible sump pump piping
Obstruction
Unable to push past
feet
Number of stacks Entered S L. at ._
Roots
Poor PipeJoints
Mineral Deposits q , 7 - 3- 1"7" -- /
Sag /Pipe Deflection I— 2 -q1=-7 -
Damaged Pipe
Transition...` (A' /hit./ 7; / � � 5
__Length of Service: 7/4 Fr -
! -
Final Cleanout:
No Access
O No one in
(at A ccess to service
lateral needed
O Inspection
refused
For information call 651.470.2788
White Copy: Property Owner
Yellow Copy: City of Eagan
c'Gr% - 77, 1, (--7 72/
Record Number -C
• } p m
Time / ! • ° O pm
Phone (51? l-I .. 7,
frr ector Signature
Notes
0
( r / 2
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
i
Roof drains
41114. City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date ()1 e7f 1 70
Name
PID Number
House Number Street Name
n
Alter'native�lvlailing Address
Time
OwnerlOccupant Signature
f lZ': O am
•-- pm
Disk #
5
Compliance
O No foundation drain connection
} No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
tO: No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
1 /6 /v /Z7 .4 7
Non- Compliance
Clear water connections to
sanitary sewer g t'i' e+:!.
O Service lateral efects
O Defective manholes
O Sump pump connected to sanitary
sewer.
O Flexible sump pump piping
Obstruction
Unable to push past
feet
Number of stacks Entered S L. at ._
Roots
Poor PipeJoints
Mineral Deposits q , 7 - 3- 1"7" -- /
Sag /Pipe Deflection I— 2 -q1=-7 -
Damaged Pipe
Transition...` (A' /hit./ 7; / � � 5
__Length of Service: 7/4 Fr -
! -
Final Cleanout:
No Access
O No one in
(at A ccess to service
lateral needed
O Inspection
refused
For information call 651.470.2788
White Copy: Property Owner
Yellow Copy: City of Eagan
c'Gr% - 77, 1, (--7 72/
Record Number -C
• } p m
Time / ! • ° O pm
Phone (51? l-I .. 7,
frr ector Signature
Notes
0
( r / 2
Pink Copy: SEH