2056 Emerald Lane - Inspection Formk City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 JO 1 /
Name d# 7/4
PID Number
Compliance
No foundation drain connection
,
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
16 No sump pump
4" to 6" Transition: Viii/ ¢d tJA
White Copy: Property Owner
Time /0 i I/L
Disk #
wher /Occupant Signature
V
5-
4am
0 pm
Alternative Mailing Address
Non - Compliance
f ° SA()ength of Service:
Record Number
Time �/i • 7
0
0 Pm
House Number . C Street Name
tfnspector Signatur
For information call 651.470.2788
Obstruction
O Clear. water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
y Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S,
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection -° J � '•J �t ��r 1 / >-` e
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
, "
w
_
Foundation drains
r __._
.
"`
_ ____
Roof drains
_�
k City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 JO 1 /
Name d# 7/4
PID Number
Compliance
No foundation drain connection
,
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
16 No sump pump
4" to 6" Transition: Viii/ ¢d tJA
White Copy: Property Owner
Time /0 i I/L
Disk #
wher /Occupant Signature
V
5-
4am
0 pm
Alternative Mailing Address
Non - Compliance
f ° SA()ength of Service:
Record Number
Time �/i • 7
0
0 Pm
House Number . C Street Name
tfnspector Signatur
For information call 651.470.2788
Obstruction
O Clear. water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
y Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S,
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection -° J � '•J �t ��r 1 / >-` e
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SEH