2021 Emerald Lane - Inspection Forms4111bi.
City of hapii
Residekitia.I Sanitary Sewer Service
Compliance Inspection
Date OK i02. /
Time/1.
•- •parn
rn
Name J4-7 Disk
Record Number
/ [1- Time
•
PID Number
House Number /I' Street Name
Alternative Mailing Address
OwnerlOccupant Signature
0 pm
inspector Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
P.0". No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Non -Compliance
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
O No one in
o Access to service
lateral needed
O Inspection
refused
Ser vice Lateral Inspection Findings
Rootseb ?
6
Number of stacks
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Entered S L at
4" to 6"Transition:
&Iv
77,s -
Length of Service:
Final Cleanout
Notes — 144, ,e4,0L,4, ea-441/6fe,7b-7
c
- /7010
CO Cenge 4Alc,z4124
4u
White Copy: hope' ty Owner
Yellow Copy: City of Eagan Pink Copy: SEH
.
Number
Correctly
.
.Discharged
Incorrectly
Unknown
Total
Sump pumps
drains
Foundation drains
Roof drains
Notes — 144, ,e4,0L,4, ea-441/6fe,7b-7
c
- /7010
CO Cenge 4Alc,z4124
4u
White Copy: hope' ty Owner
Yellow Copy: City of Eagan Pink Copy: SEH
ill or
City Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date / / /17
PID Number
House Number
-- •(�s(��[} am
Time `5 • 11J��[[j pm
Disk #
Street Name
Alternative Mailing Address
f
r --
Record Number
Time _ • pm
Phone f' .�7�. --
,_.•._ �. 5 1)
Own r/Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
r�.
O
O
' 2.
Inspector Signature
For information call 651.470.2788
Non -Compliance
0
0
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to_push past
,et
Service Lateral Ins ection FindinsJ- Number of stacks
Roots•f� / .
Poor Pipe Joints
Mineral Deposits
.SQpipe Deflection
Damaged Pipe
Transition
) r
/
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
SLat ;<_7
r
4" to 6" Transition:
r ) !'r'ni.�'�
Length of Service:2 , 2 X14
Number Discharged
Corr ectly
Incorrectly
Unknown
Sump pumps
Foundation drains
;
White Copy: Property Owner
Final Cleanout: 1
Notes
I f 1
-1704
Yellow Copy: City of Eagan Pink Copy: SEH