2066 Emerald Lane - Inspection FormCity of Eag,aPt
Residential Sanitary Sewer Service
Compliance Inspection
Date I OZ 1 /
Name 4:60
1
PID Number
r< Sweet Name L �''7 ` `- -J'°i
House Number —
Alternative Mailing Address
/ Owner /Occupant Signature
Co piiance
No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition: 1
White Copy: Property Owner
1/ • . O a ,
Time •u o pm
Disk
- LL1 -C1 -J
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
Service Lateral Inspection Findings Number of stacks
Roots 7 / 7 7 73/ 19 f r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _ --
Transition
{ Length of Service:
Record Number
,
Time /
€ r s ' 2 /a r` Ci 7 a
Phone � .1 i
� � �_
Inspector Signature
For information call 651 470:2788
Obstruction
Unable to push past
feet
Entered S L at
• • 0 pm
am .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
67 r Final Cieanout: e `
Notes -- ' 0 Cal./le
Yellow Copy: City of Fagan Pink Copy: SEH
Number
:Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
—
City of Eag,aPt
Residential Sanitary Sewer Service
Compliance Inspection
Date I OZ 1 /
Name 4:60
1
PID Number
r< Sweet Name L �''7 ` `- -J'°i
House Number —
Alternative Mailing Address
/ Owner /Occupant Signature
Co piiance
No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition: 1
White Copy: Property Owner
1/ • . O a ,
Time •u o pm
Disk
- LL1 -C1 -J
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
Service Lateral Inspection Findings Number of stacks
Roots 7 / 7 7 73/ 19 f r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _ --
Transition
{ Length of Service:
Record Number
,
Time /
€ r s ' 2 /a r` Ci 7 a
Phone � .1 i
� � �_
Inspector Signature
For information call 651 470:2788
Obstruction
Unable to push past
feet
Entered S L at
• • 0 pm
am .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
67 r Final Cieanout: e `
Notes -- ' 0 Cal./le
Yellow Copy: City of Fagan Pink Copy: SEH
City of Eag,aPt
Residential Sanitary Sewer Service
Compliance Inspection
Date I OZ 1 /
Name 4:60
1
PID Number
r< Sweet Name L �''7 ` `- -J'°i
House Number —
Alternative Mailing Address
/ Owner /Occupant Signature
Co piiance
No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition: 1
White Copy: Property Owner
1/ • . O a ,
Time •u o pm
Disk
- LL1 -C1 -J
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
Service Lateral Inspection Findings Number of stacks
Roots 7 / 7 7 73/ 19 f r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _ --
Transition
{ Length of Service:
Record Number
,
Time /
€ r s ' 2 /a r` Ci 7 a
Phone � .1 i
� � �_
Inspector Signature
For information call 651 470:2788
Obstruction
Unable to push past
feet
Entered S L at
• • 0 pm
am .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
67 r Final Cieanout: e `
Notes -- ' 0 Cal./le
Yellow Copy: City of Fagan Pink Copy: SEH
Number
:Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
—
City of Eag,aPt
Residential Sanitary Sewer Service
Compliance Inspection
Date I OZ 1 /
Name 4:60
1
PID Number
r< Sweet Name L �''7 ` `- -J'°i
House Number —
Alternative Mailing Address
/ Owner /Occupant Signature
Co piiance
No foundation drain connection
NO No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition: 1
White Copy: Property Owner
1/ • . O a ,
Time •u o pm
Disk
- LL1 -C1 -J
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
Service Lateral Inspection Findings Number of stacks
Roots 7 / 7 7 73/ 19 f r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _ --
Transition
{ Length of Service:
Record Number
,
Time /
€ r s ' 2 /a r` Ci 7 a
Phone � .1 i
� � �_
Inspector Signature
For information call 651 470:2788
Obstruction
Unable to push past
feet
Entered S L at
• • 0 pm
am .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
67 r Final Cieanout: e `
Notes -- ' 0 Cal./le
Yellow Copy: City of Fagan Pink Copy: SEH