2017 Emerald Lane - Inspection FormCity of Eagau
Residential Sanitary Sewer Service
Compliance inspection
Date U, 1 r 1 I�
Name Disk #
PID Number
House Number Street Name _ �/ / <- '17q x ) '
Phone 027 ,7 , f ,
Alternative Mailing Addr
• 3(3 o a
Time i` • prn
For information call 1551;470.2788
Compliance
0 No foundation drain connection
No roof drain connection
, Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
�: "
Roots ° 7 .;( �° C.1..t
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
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition' --',, I
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
• ,_ c am
Time • pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/ J %j
11 Number of acks Entered S L at
/ �--.
Final Cleanout:
1 f
Pink Copy: SEH
Nunsber
Correctly
Dischar g ed
Noes
/3 I fj
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City of Eagau
Residential Sanitary Sewer Service
Compliance inspection
Date U, 1 r 1 I�
Name Disk #
PID Number
House Number Street Name _ �/ / <- '17q x ) '
Phone 027 ,7 , f ,
Alternative Mailing Addr
• 3(3 o a
Time i` • prn
For information call 1551;470.2788
Compliance
0 No foundation drain connection
No roof drain connection
, Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
�: "
Roots ° 7 .;( �° C.1..t
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
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition' --',, I
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
• ,_ c am
Time • pm
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/ J %j
11 Number of acks Entered S L at
/ �--.
Final Cleanout:
1 f
Pink Copy: SEH