1956 Carnelian Lane - Inspection Form41 ' City al hp
Residential Sanitary Sewer Service
Compliance Inspection
Date X/ / r /
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
A t i No roof drain connection
O Sump pit not connected to
sanitary sewer
�°ii0 Sump pump properly piped
l No sump pump
Service Lateral Inspection Findings
Roots 7r,
r-
4" to b" Transition:
White Copy: Property Owner
Time //: i �✓' p
0
5
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
4
Y
• • / t. O pm
Name /c- /' ' //r4/2,.f Disk #
PID Number
House Number /'�"' / Street Name
Phone M7) .• f /
/7/inspector Signature
For information call 651.470.2788
No Access
O No one in
Number of stacks 1 Entered 5 Lat. IV CV
Final Cleanout
O Access to service
lateral needed
O Inspection
refused
Pool Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition !, J s /OP!' / 1-�,s. •
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
Foundation drains
BEELMIIII
J El=
Roof drains
41 ' City al hp
Residential Sanitary Sewer Service
Compliance Inspection
Date X/ / r /
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
A t i No roof drain connection
O Sump pit not connected to
sanitary sewer
�°ii0 Sump pump properly piped
l No sump pump
Service Lateral Inspection Findings
Roots 7r,
r-
4" to b" Transition:
White Copy: Property Owner
Time //: i �✓' p
0
5
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
4
Y
• • / t. O pm
Name /c- /' ' //r4/2,.f Disk #
PID Number
House Number /'�"' / Street Name
Phone M7) .• f /
/7/inspector Signature
For information call 651.470.2788
No Access
O No one in
Number of stacks 1 Entered 5 Lat. IV CV
Final Cleanout
O Access to service
lateral needed
O Inspection
refused
Pool Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition !, J s /OP!' / 1-�,s. •
Pink Copy: SEH