2018 Coral Lane - Inspection FormAO—
City al Ea
lall
Residential Sanitary Sewer Service
Compliance Inspection
Dated / ),/ ?,
Name •-- '�/'1 I3 's Disk#
4
PID Number
• Time ( 1 •
)e ?
House Number r :. Street Name
Compliance
O No foundation drain connection
3 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits Cry
4" to 6" Transition:
White Copy: Property Owner
s
6!) l'.171 L 41- )7/
OW'nerfCccupant Signature`
Service Lateral Inspection Findings
Transition
} am
o pm
r
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
Roots
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number
lo. : -2
Alternative Mailing Address Phone rig %`
Sag /Pipe Deflection
Notes
/) • ._ ;S am
Time _ I • 0 Pm
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S. L.at '?�'`�� i
Poor Pipe Joints
i t
t
Final Cleandut:
,r. '
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number Discharged
Correctly Incorrectly
-®
Unknown
11/
Sump pumps
r
11
Foundation drains
Roof drains
AO—
City al Ea
lall
Residential Sanitary Sewer Service
Compliance Inspection
Dated / ),/ ?,
Name •-- '�/'1 I3 's Disk#
4
PID Number
• Time ( 1 •
)e ?
House Number r :. Street Name
Compliance
O No foundation drain connection
3 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits Cry
4" to 6" Transition:
White Copy: Property Owner
s
6!) l'.171 L 41- )7/
OW'nerfCccupant Signature`
Service Lateral Inspection Findings
Transition
} am
o pm
r
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
Roots
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number
lo. : -2
Alternative Mailing Address Phone rig %`
Sag /Pipe Deflection
Notes
/) • ._ ;S am
Time _ I • 0 Pm
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S. L.at '?�'`�� i
Poor Pipe Joints
i t
t
Final Cleandut:
,r. '
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH