2029 Emerald Lane - Inspection FormCit oI1a n
Residential Sanitary Sewer Service
Compliance Inspection
r 1 '
f
Date 1 1 _
� 1 „� . �
1
Name %� J j'1s`°` Y Disk
PID Number
House Number -n; / t Street Name
Alternative Mailing Address
White Copy: Property Owner
• L am
Time ./ • o pm
OwnerlOccupant,Signature
Yellow Copy: City of Eagan
Record Number
f
_..,. am • Time -'` • 'O pm
Phone r, ;._ , / . .E i 1 Cr , 7
Inspector Signature
Pink Copy: SEH
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non - Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings
Roots , -, ,
Number of stacks
—��
Entered S. L. at Vie= ' y
/r r '-
W "
J
f �
Poor Pi pe Joints
Mineral Deposits
Sag /Pipe Deflection ?
- ---r-
Damaged Pipe
— Transition i ^ - 2'' < f /,; 4 -- 2. L
1 , - , 1 , .? r l ! ! • 6/ � �: f c
; -
4" to 6 " Transition:
Length of Service: C.) - -r - Final Cleanout: I
'
_�',
Total
Notes
e..�
f
f ,
i� ' ICI %
3
:.. -�,/`
, %
I ',1-_-;- t�
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
,
s
/ i ' : % "mil '
�� ..� r
Foundation drains
Roof drains
A
i
Cit oI1a n
Residential Sanitary Sewer Service
Compliance Inspection
r 1 '
f
Date 1 1 _
� 1 „� . �
1
Name %� J j'1s`°` Y Disk
PID Number
House Number -n; / t Street Name
Alternative Mailing Address
White Copy: Property Owner
• L am
Time ./ • o pm
OwnerlOccupant,Signature
Yellow Copy: City of Eagan
Record Number
f
_..,. am • Time -'` • 'O pm
Phone r, ;._ , / . .E i 1 Cr , 7
Inspector Signature
Pink Copy: SEH