2022 Emerald Lane - Inspection FormI!i or _ iFU iii
Residential 'Sanitary :Sewer Service
Compliance Inspection
ww,
Date 7 / / , r
Name
PID Number
Alternative Mailing Address
Time
r J lJ'r / Disk #
am
* + p
House Number d Street Name
Owner /Occupant Signature
Record Number
`tG
v/ Qum
• --
Time • — O Pm
Phone
......1/""
L.)
Inspector Signature
For information. call 651.470.2788
Compliance
O No foundation drain connection
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
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:
White Copy: Property Owner
Obstruction
Unable to push past
feet
Number of stacks 5 L at
Yellow Copy: City of Eagan
r
/
,�' Final Cleanout:
!7
No Access
O No one in
O Access to service .
lateral needed
O I nspection
refused
Notes
C -`
J ? f
l ✓G
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
(
7
Foundation drains
Roof drains
t`
I!i or _ iFU iii
Residential 'Sanitary :Sewer Service
Compliance Inspection
ww,
Date 7 / / , r
Name
PID Number
Alternative Mailing Address
Time
r J lJ'r / Disk #
am
* + p
House Number d Street Name
Owner /Occupant Signature
Record Number
`tG
v/ Qum
• --
Time • — O Pm
Phone
......1/""
L.)
Inspector Signature
For information. call 651.470.2788
Compliance
O No foundation drain connection
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
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:
White Copy: Property Owner
Obstruction
Unable to push past
feet
Number of stacks 5 L at
Yellow Copy: City of Eagan
r
/
,�' Final Cleanout:
!7
No Access
O No one in
O Access to service .
lateral needed
O I nspection
refused
Notes
C -`
J ? f
l ✓G
Pink Copy: SEH
I!i or _ iFU iii
Residential 'Sanitary :Sewer Service
Compliance Inspection
ww,
Date 7 / / , r
Name
PID Number
Alternative Mailing Address
Time
r J lJ'r / Disk #
am
* + p
House Number d Street Name
Owner /Occupant Signature
Record Number
`tG
v/ Qum
• --
Time • — O Pm
Phone
......1/""
L.)
Inspector Signature
For information. call 651.470.2788
Compliance
O No foundation drain connection
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
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:
White Copy: Property Owner
Obstruction
Unable to push past
feet
Number of stacks 5 L at
Yellow Copy: City of Eagan
r
/
,�' Final Cleanout:
!7
No Access
O No one in
O Access to service .
lateral needed
O I nspection
refused
Notes
C -`
J ? f
l ✓G
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
(
7
Foundation drains
Roof drains
t`
I!i or _ iFU iii
Residential 'Sanitary :Sewer Service
Compliance Inspection
ww,
Date 7 / / , r
Name
PID Number
Alternative Mailing Address
Time
r J lJ'r / Disk #
am
* + p
House Number d Street Name
Owner /Occupant Signature
Record Number
`tG
v/ Qum
• --
Time • — O Pm
Phone
......1/""
L.)
Inspector Signature
For information. call 651.470.2788
Compliance
O No foundation drain connection
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
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
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:
White Copy: Property Owner
Obstruction
Unable to push past
feet
Number of stacks 5 L at
Yellow Copy: City of Eagan
r
/
,�' Final Cleanout:
!7
No Access
O No one in
O Access to service .
lateral needed
O I nspection
refused
Notes
C -`
J ? f
l ✓G
Pink Copy: SEH