2102 Carnelian Lane - Inspection Form4 1 1 , 11. City f eta a
Y � u
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1 2(1 Time
Name _ Disk #
PID Number
House Number f P
Alternative Mailing Address
Owner /O'ccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
X . No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 7 /,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pr operty Owner
Street Name
p am
' pm
Non - Compliance
O Clear water connections CO
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Phone
Number of stacks ! Entered S,L.at
r'(
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
O am
pm
1— 4 4 —c
22 T
inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: 9 l /
Pink Copy: SPH
Number
Correctly
Discharged.
Incorrectly Unknown
N otes
/ s
I f ! G.
i I , Cam'
r ' , U �t�G!c"' /
j / 4" ,, I
Total
Sump pumps
(
Foundation drains
--
0
Roof drains
2 -fL1s 0
4 1 1 , 11. City f eta a
Y � u
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1 2(1 Time
Name _ Disk #
PID Number
House Number f P
Alternative Mailing Address
Owner /O'ccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
X . No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 7 /,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pr operty Owner
Street Name
p am
' pm
Non - Compliance
O Clear water connections CO
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Phone
Number of stacks ! Entered S,L.at
r'(
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
O am
pm
1— 4 4 —c
22 T
inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: 9 l /
Pink Copy: SPH