2093 Emerald Lane - Inspection FormCity of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 2/ / l�` '
Name
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
4" to 6 "Transition:
White Copy: Pr operty Owner
Time /_� Pm
Disk #
HD Number
House Number „,- Street Name
— LE — EE
Alternative Mailing Address Phone _ r ! —/ �5/ ' J 7(1
r Owner /Occupant Signature
1
For information call 651.470.2788
Non - Compliance
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I S�' �
Transition r L—; ,-1(1
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
r
7
Service Lateral Inspection Findings Number of stacics _, Enter i S L at <� r/ ,, - w , r
Roots f--
Poor Pipe Joints
Length of Service:
Copy: City of Eagan
Record Number j
▪ Time r •
Inspector Signature
Obstruction
y X f
-
0 m
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
_ 11 4- -Final Cleanout: f 7 - ' L
Pink Copy: SEH
Nu mber
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
..,---J j!
Foundation drains
Roof drains
l`' / ) !'f /
City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 2/ / l�` '
Name
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
4" to 6 "Transition:
White Copy: Pr operty Owner
Time /_� Pm
Disk #
HD Number
House Number „,- Street Name
— LE — EE
Alternative Mailing Address Phone _ r ! —/ �5/ ' J 7(1
r Owner /Occupant Signature
1
For information call 651.470.2788
Non - Compliance
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I S�' �
Transition r L—; ,-1(1
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
r
7
Service Lateral Inspection Findings Number of stacics _, Enter i S L at <� r/ ,, - w , r
Roots f--
Poor Pipe Joints
Length of Service:
Copy: City of Eagan
Record Number j
▪ Time r •
Inspector Signature
Obstruction
y X f
-
0 m
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
_ 11 4- -Final Cleanout: f 7 - ' L
Pink Copy: SEH