2078 Emerald Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date Or/
Name .� r,
41 / 714 Disk #
PID Number
House Number Street Name
Alternative Mailing Address
, 1
White Copy: Property Owner
Ti m
Lt
Owner /Occupant Signature
am
•- 1 e rPm
,f
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots..5r-51 r�1 67/°
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
Number of stacks
4" to 6 "Transition: ilif 7 C — S"/ ,--Length of Service:
Yellow Copy: City of Eagan
Record Number
i / 1
p am
Time / " • i c 9 Pm
hone (0(1,1
✓' / inspector Signature
Obstruction
Unable to push past
,f5 feet
Final Cleanout:
No Access
O No one in
Entered S L at PTA-C`/7e (
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number Discharged
Unknown
Notes ✓ e- / - 1 , �` ��-
/
6 { 7,?"; A-6?-77 .
C LC�,�v' 4 C
�. , , -..
Total
Correctly
Incorrectly
Sump pumps
C
._. ___.. ..•, _._..
------
__
Foundation drains
------
--
----
Roof drains f �
Residential Sanitary Sewer Service
Compliance Inspection
Date Or/
Name .� r,
41 / 714 Disk #
PID Number
House Number Street Name
Alternative Mailing Address
, 1
White Copy: Property Owner
Ti m
Lt
Owner /Occupant Signature
am
•- 1 e rPm
,f
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots..5r-51 r�1 67/°
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
Number of stacks
4" to 6 "Transition: ilif 7 C — S"/ ,--Length of Service:
Yellow Copy: City of Eagan
Record Number
i / 1
p am
Time / " • i c 9 Pm
hone (0(1,1
✓' / inspector Signature
Obstruction
Unable to push past
,f5 feet
Final Cleanout:
No Access
O No one in
Entered S L at PTA-C`/7e (
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Sump pumps
�._ W _.
�_.v.__
_W.___
Foundation drains
I -
Roof drains
;. ,-
r' 4N 3 7
City Di EaPo
Residential Sanitary Sewer Service
Compliance Inspection
Date _ an r_C7./ / /e
Name : 2T [ rC
PID Number
House Number Z2 2... •
Alternative Mailing Address
Co pliance
0/No foundation drain connection
/ 1
No roof drain connection
O Sump pit not connected toSump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins ection Findings
sT Roots,
4" to 6" Transition:
Total
7111 am
Time • wpm
Disk #
Street Name
Owner /Occupant Signature
For information call 65:1
Non - Compliance
0
O
O
O
0
0
Gl
L
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks t Entered S L at
Poor Pipe Joints
Mineral Deposits a -r"`
Sag /Pipe Deflection .2‘
Damaged Pipe
Transition
J/ .; ;t•` r ength of Service:
Number Discharged
Correctly incorrectly
Unknown
White Copy: Property Owner
Record Number
• ?0- 0 am
Time ' ® .pp,
. / /inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Notes ; �
06 �h
tAdr
Yellow Copy: City of Eagan Pink Copy: SEH