2116 Emerald Lane - Inspection Form0 .
City of Eapri
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1_ I/ 1 /0
Name /{7:',/1_/A- K4; '77
Time 1_5 • (i p - p
House Number 2 /7
Disk #
PID Number
Q wrpe i rlOccupant Signature
Compliance
f�} foundation drain connection
ONo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
), No sump pump
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
/ 0
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
Street Name Z 1 / f -/) LA/
Oam
Time i..., •
Alternative Mailing Address Phone '<S_i /.f e `C4/ / /
r
v1' Inspector Signature
✓
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
For information calf 651.470.2788
4" to 6 "Transition: ( 6 r ` � ma Length of Service: 7 .
r f i
Obstruction
Unable to push past
feet
Entered S.L,at
Service Lateral Inspection Findings Number of stacks
Roots , t, 67/
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
f
Pink Copy: SEH
Notes
r
' a, 0 ., e _' I °' -2
g. ? L,- °Y ,-,�,,
Number
Correctly
Discharged
Incorrectly Unknown '4:
Total
Sump pumps
„
Foundation drains
-� �` —___ _.
.._ ..
Roof drains
,.� /" -
_— _.___�
_u ___.
0 .
City of Eapri
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1_ I/ 1 /0
Name /{7:',/1_/A- K4; '77
Time 1_5 • (i p - p
House Number 2 /7
Disk #
PID Number
Q wrpe i rlOccupant Signature
Compliance
f�} foundation drain connection
ONo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
), No sump pump
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
/ 0
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
Street Name Z 1 / f -/) LA/
Oam
Time i..., •
Alternative Mailing Address Phone '<S_i /.f e `C4/ / /
r
v1' Inspector Signature
✓
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
For information calf 651.470.2788
4" to 6 "Transition: ( 6 r ` � ma Length of Service: 7 .
r f i
Obstruction
Unable to push past
feet
Entered S.L,at
Service Lateral Inspection Findings Number of stacks
Roots , t, 67/
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
f
Pink Copy: SEH