2033 Emerald Lane - Inspection FormsCity Oi Ea n
Residential Sanitary Sewer Service
Compliance inspection
Date ! c7 / /a
Name X2. /" /0e://74/471-Disk
PID Number
House Number
Alternative MailingAddress
1,
Time 9/ � �rJ tO'
Owner Occupant Signature
Compliance
d"."-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
Service Laterai .nspectiion Findings
Roots_J ./ ®! , t3
Poor Pipe Joints
O
O
O
O
O
C2
Non - Compliance
[ zid
Street Name
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
'hone ;
l' / /,
r } �1
Time
• l7 oz�am
• t Pm
/ �� ;f Signature
For Information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S. L at - ', ' t2
Mineral Deposits 7 ] "
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/-2-Length of Service:
Final Cleanout:
Notes 0 4
Yellow Copy: City of Eagan Pink Copy: SEH
Number:
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
''
—°"_
—.
Foundation drains
Roof drains
City Oi Ea n
Residential Sanitary Sewer Service
Compliance inspection
Date ! c7 / /a
Name X2. /" /0e://74/471-Disk
PID Number
House Number
Alternative MailingAddress
1,
Time 9/ � �rJ tO'
Owner Occupant Signature
Compliance
d"."-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
Service Laterai .nspectiion Findings
Roots_J ./ ®! , t3
Poor Pipe Joints
O
O
O
O
O
C2
Non - Compliance
[ zid
Street Name
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
'hone ;
l' / /,
r } �1
Time
• l7 oz�am
• t Pm
/ �� ;f Signature
For Information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S. L at - ', ' t2
Mineral Deposits 7 ] "
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/-2-Length of Service:
Final Cleanout:
Notes 0 4
Yellow Copy: City of Eagan Pink Copy: SEH
City Oi Ea n
Residential Sanitary Sewer Service
Compliance inspection
Date ! c7 / /a
Name X2. /" /0e://74/471-Disk
PID Number
House Number
Alternative MailingAddress
1,
Time 9/ � �rJ tO'
Owner Occupant Signature
Compliance
d"."-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
Service Laterai .nspectiion Findings
Roots_J ./ ®! , t3
Poor Pipe Joints
O
O
O
O
O
C2
Non - Compliance
[ zid
Street Name
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
'hone ;
l' / /,
r } �1
Time
• l7 oz�am
• t Pm
/ �� ;f Signature
For Information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S. L at - ', ' t2
Mineral Deposits 7 ] "
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/-2-Length of Service:
Final Cleanout:
Notes 0 4
Yellow Copy: City of Eagan Pink Copy: SEH
Number:
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
''
—°"_
—.
Foundation drains
Roof drains
City Oi Ea n
Residential Sanitary Sewer Service
Compliance inspection
Date ! c7 / /a
Name X2. /" /0e://74/471-Disk
PID Number
House Number
Alternative MailingAddress
1,
Time 9/ � �rJ tO'
Owner Occupant Signature
Compliance
d"."-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
Service Laterai .nspectiion Findings
Roots_J ./ ®! , t3
Poor Pipe Joints
O
O
O
O
O
C2
Non - Compliance
[ zid
Street Name
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
'hone ;
l' / /,
r } �1
Time
• l7 oz�am
• t Pm
/ �� ;f Signature
For Information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S. L at - ', ' t2
Mineral Deposits 7 ] "
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
/-2-Length of Service:
Final Cleanout:
Notes 0 4
Yellow Copy: City of Eagan Pink Copy: SEH