2093 Carnelian Lane - Inspection FormSump pumps
/
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date f /
Name
Alternative MailingAddre s
/
-
4" to 6" Transition:
#
White Copy: Proper ty Owner
- - Owner /Occupant Signature
Com liance
No foundation drain connection
No roof drain connection
O' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
L.
Non - Compliance
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number ;
5-0 O am
Time" O pm
PID Number.
House Number (� ▪ Street Name r /J ! )
Phone / " 4174-
Inspector Signature
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Notes
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S at °- - -.a �
Roots
s r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe 7
Transition
i
Yellow Copy: City of Eagan Pink Copy: SEE