2034 Carnelian Lane - Inspection Form4411111- City olio p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 1 Je
Name _ . ) -3
PID Number
2/
Alternative Mailing Address Phone ( - - - ) 7 24. T - 3L
House Number
Transition
)
4" to 6" Transition:
White Copy: Property Owner
Time 5 •
Disk #
Street Name
OwnerlOccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
am
pm
For information call 651.470.2788
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
Service Lateral Ili pection Findings Number of stacks Entered S.1_ at
Roots -
� l
PoorPipeJoints ._...� .� -~-�` 21
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
•�' , e:P .
Record Number
• _al/
Time ) •
Obstruction
Unable to push past
feet
Inspector Signature
Length of Service: ' 3 Cleanout:
Yellow Copy: City of Eagan
Notes
am
pm
i
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
4411111- City olio p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 1 Je
Name _ . ) -3
PID Number
2/
Alternative Mailing Address Phone ( - - - ) 7 24. T - 3L
House Number
Transition
)
4" to 6" Transition:
White Copy: Property Owner
Time 5 •
Disk #
Street Name
OwnerlOccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
am
pm
For information call 651.470.2788
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
Service Lateral Ili pection Findings Number of stacks Entered S.1_ at
Roots -
� l
PoorPipeJoints ._...� .� -~-�` 21
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
•�' , e:P .
Record Number
• _al/
Time ) •
Obstruction
Unable to push past
feet
Inspector Signature
Length of Service: ' 3 Cleanout:
Yellow Copy: City of Eagan
Notes
am
pm
i
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH