2096 Emerald Lane - Inspection FormsCity of tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date 7%; / # I�
Name d /1t Disk #
L..-
PID Number
House Number
Alternative Mailing Address
pliance
No foundation drain connection
i No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe joints
Mineral Deposits_
Sag /Pipe Deflection
4" to 6"Transition:
White Copy: Pioperty Owner
Time
J i ` Street Name
Owner /Occupant Signature
Service Lateral Inspection Findin
Roots
Length of Service:
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
Record Number
___)„,„a6r<
Phone
For. information ;call 65 470:2788
or
Obstruction
Unable to push past
feet
Number of stacks Entered St at `
Damaged Pipe
Transition t f (
Notes
inspector Signature
62 'o am
Time �. P�
Final Cleanout: i /2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
; ]
Foundation drains
/
Roof drains
City of tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date 7%; / # I�
Name d /1t Disk #
L..-
PID Number
House Number
Alternative Mailing Address
pliance
No foundation drain connection
i No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe joints
Mineral Deposits_
Sag /Pipe Deflection
4" to 6"Transition:
White Copy: Pioperty Owner
Time
J i ` Street Name
Owner /Occupant Signature
Service Lateral Inspection Findin
Roots
Length of Service:
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
Record Number
___)„,„a6r<
Phone
For. information ;call 65 470:2788
or
Obstruction
Unable to push past
feet
Number of stacks Entered St at `
Damaged Pipe
Transition t f (
Notes
inspector Signature
62 'o am
Time �. P�
Final Cleanout: i /2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
City of tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date 7%; / # I�
Time
Name d / Disk #
L..-
PID Number
House Number
Alternative Mailing Address
J i ` Street Name
Owner /Occupant Signature
Record Number
'o am
Time �. 3 Pm
___)„,„a6r<
Phone Ci "" , 57 42
inspector Signature
For. information call 65 470:2788
pliance
No foundation drain connection
i No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findin
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
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
Obstruction
Unable to push past
feet
Number of stacks Entered St at `
Damaged Pipe
Transition t f (
White Copy: Pioperty Owner
Length of Service:
or
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: r /2
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
; ]
Foundation drains
/
Roof drains
City of tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date 7%; / # I�
Time
Name d / Disk #
L..-
PID Number
House Number
Alternative Mailing Address
J i ` Street Name
Owner /Occupant Signature
Record Number
'o am
Time �. 3 Pm
___)„,„a6r<
Phone Ci "" , 57 42
inspector Signature
For. information call 65 470:2788
pliance
No foundation drain connection
i No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findin
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
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
Obstruction
Unable to push past
feet
Number of stacks Entered St at `
Damaged Pipe
Transition t f (
White Copy: Pioperty Owner
Length of Service:
or
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: r /2
Yellow Copy: City of Eagan Pink Copy: SEH