2037 Carnelian Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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1 City of Ca an
Residential Sanitary Sewer Service
Compliance Inspection
Date (2 i ./ 1 /G Time ,
• ikpm
Name f C i i i r r C P I / 7 , J� Disk #
PID Number
House Number
Alternative Mailing Address
1
For information call 651.470.2788
Compliance
O No foundation drain connection
f No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks T Entered S. L at W'
.. f
Roots,4 e • i °'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
7 0_ 7 Street Name
OwnerlOccupant Signature
1 ¢
Total
Ot try
Lii-
• Length of Service:
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Number Discharged
Correctly
Incorrectly Unknown
Yellow Copy: City of Eagan
H Time
Record Number
r ,Phone f�fz3 /I
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Inspector Signature
Obstruction
Unable to push past
feet
Notes
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ACT
0 am
)(
• i®' pm
No Access
O No one in
O Accessto service
lateral needed
O Inspection
refused
Final Cleanout:
re �7O
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( ' fi^ . _ ' - - J 6'? ' -
i24 ' 3 %ma° %�- ?t
Pink Copy: SEH