2074 Carnelian Lane - Inspection FormsCity of ban
Residential Sanitary Sewer Service
Compliance Inspection
Date arl / l /Or
Name e ' C'77r� /./ Disk # r !
PID Number --
House Number 6) 7 Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
CY_,Nek foundation drain connection
O;No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots a,
t �
4" to 6" Transition:
7
White Copy: Property Owner
m
Time G 1p pm
Length of Service:
Record Number
O
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
7
Yellow Copy: City of Eagan
") �� • (/' l a m
Time L. t "J • / _ o pm
Pht;ne iZ) 91 N i/2
4 , f.
f,//// 1'p l �.✓ _
''1 Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
4 94 feet
f
No Access
O No one in
Number of stacks Entered 5.L at :' "��
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition f t'"V
Final Cleanout: /
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
�} f ,
`'
rs
, _
1: X21 / 4 , / .
! ' f f ~ � I j : _,
Total
Sump pumps
Foundation drains
jai 1. Y -_r_ i'f
Roof drains
1
_._ - - -- ___
._._.
.__
City of ban
Residential Sanitary Sewer Service
Compliance Inspection
Date arl / l /Or
Name e ' C'77r� /./ Disk # r !
PID Number --
House Number 6) 7 Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
CY_,Nek foundation drain connection
O;No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots a,
t �
4" to 6" Transition:
7
White Copy: Property Owner
m
Time G 1p pm
Length of Service:
Record Number
O
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
7
Yellow Copy: City of Eagan
") �� • (/' l a m
Time L. t "J • / _ o pm
Pht;ne iZ) 91 N i/2
4 , f.
f,//// 1'p l �.✓ _
''1 Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
4 94 feet
f
No Access
O No one in
Number of stacks Entered 5.L at :' "��
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition f t'"V
Final Cleanout: /
Pink Copy: SEH
City or E a
Residential ;Sanitary Sewer Service
Compliance inspection
Date 6 / /q/ 4 U
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
4" to 6 "Transition:
White Copy: Pr operty Owner
T r .;�j
Name 2:4.6eT i fir' -X.r' +7 Disk#
PID Number
House Number z Street Name
Alternative Mailing Address
Owner /Occupant Signature
0
05am
0 pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number'
l ..
Damaged Pipe
Transition
//� /
/
— L' 1 vi ! Time V 7
;tnspector Signature
Obstruction
Unable to push past
feet
Opm
i hone
For information call 651.470.2788_
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service L teral Inspection Findings Number of stacks Entered S L at ti ', k'
Roots r i
Final Cleanout: rL/f
Pink Copy: SEH
Number
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
r
y
Foundation drains
; J '
p
Roof drains'
r
City or E a
Residential ;Sanitary Sewer Service
Compliance inspection
Date 6 / /q/ 4 U
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
4" to 6 "Transition:
White Copy: Pr operty Owner
T r .;�j
Name 2:4.6eT i fir' -X.r' +7 Disk#
PID Number
House Number z Street Name
Alternative Mailing Address
Owner /Occupant Signature
0
05am
0 pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number'
l ..
Damaged Pipe
Transition
//� /
/
— L' 1 vi ! Time V 7
;tnspector Signature
Obstruction
Unable to push past
feet
Opm
i hone
For information call 651.470.2788_
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service L teral Inspection Findings Number of stacks Entered S L at ti ', k'
Roots r i
Final Cleanout: rL/f
Pink Copy: SEH