2014 Carnelian Lane - Inspection FormSump pumps
Foundation drains
F
` _)
Roof drains
-
.r. ___�
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.City oi Fa ri
Residential Sanitary Sewer Service
Compliance Inspection
Date &.C1 /2
Name i Disk #
PID Number
House Number ,20/9/ Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
' No roof drain connection
V O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(;15 No sump pump
o foundation drain connection
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
/7
Sag /Pipe Deflection 7 f, '
Damaged Pipe
Transition L in,/ r f 0/;9
4" to 6 "Transition:
White Copy: Property Owner
Time // • C o •
Owner /Occupant Signature
Total
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 Discharged
Correctly
Length of Service: 77 ..
Incorrectly
Record Number - � - �t` °
Time
• O am
• . ?Pm
Phone 6
/ f Inspector Signature
Obstruction
Unable to push past
7�` s r feet.
Entered S L at ri /� (
final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes ( 7J 4
Unknown
Yellow Copy: City of Eagan )rink Copy: SEH