2066 Carnelian Lane - Inspection FormZ.s
r City of Faun
Residential Sanitary Sewer Service
Compliance Inspection
Date l t 11 I 7k
Name / '77,0
j ? 7 Disk #
PID Number
r`1
Alternative Mailing Address
rte;
'7"l
No sump pump
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
n �
4" to 6" Transition:
Co pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
White Copy: Property Owner
Time ; 3 •
House Number Street Name
0wnerlO.ccupant, Signature
Service Lateral Inspection Findings
Roots, f/
r�( am
0 pm
..... 2,
[7,
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number. . a
r r:l (1_.) /- - ->
Notes
50 X am
.Y Time • _ 4 Pm
Phone v_.
Inspector Signature
Obstruction
Unable to push past
feet
eq.
„--
No Access
O No one in
Entered S Lat. ? -� C.
O Access to ser
lateral
O Inspection
refused
1 4 Final Cleanout:
r
Pink Copy: SEH
Total
Number.
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
f')
Foundation drains
(,
Roof drains
Z.s
r City of Faun
Residential Sanitary Sewer Service
Compliance Inspection
Date l t 11 I 7k
Name / '77,0
j ? 7 Disk #
PID Number
r`1
Alternative Mailing Address
rte;
'7"l
No sump pump
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
n �
4" to 6" Transition:
Co pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
White Copy: Property Owner
Time ; 3 •
House Number Street Name
0wnerlO.ccupant, Signature
Service Lateral Inspection Findings
Roots, f/
r�( am
0 pm
..... 2,
[7,
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number. . a
r r:l (1_.) /- - ->
Notes
50 X am
.Y Time • _ 4 Pm
Phone v_.
Inspector Signature
Obstruction
Unable to push past
feet
eq.
„--
No Access
O No one in
Entered S Lat. ? -� C.
O Access to ser
lateral
O Inspection
refused
1 4 Final Cleanout:
r
Pink Copy: SEH